Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Lynne Mack PHD LLC

Organization Clinical Psychologist · NPI 1639415078

Mary Lynne Mack PHD LLC is a Clinical Psychologist in Phoenix, Arizona. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 E Washington St Ste 300
Phoenix, AZ 85034-1908
Phone: (480) 737-6076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2598-057 (WI)

Record details

NPI number1639415078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Mack — Psychologist · (262) 391-2551
NPI enumeratedDecember 12, 2012
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address4600 E Washington St Ste 300, Phoenix, AZ 85034-1908

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