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

Individual provider Psychologist · NPI 1780062638

Laurin Jarrold Mack, PHD is a Psychologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

710 S Paulina St Ste 316A
Chicago, IL 60612-3808
Phone: (312) 563-2781
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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 071009099 (IL)
Psychologist Taxonomy 103T00000X · Licence 071009099 (IL)
Health Psychologist Taxonomy 103TH0004X (IL)
Rehabilitation Psychologist Taxonomy 103TR0400X (IL)

Record details

NPI number1780062638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing address710 S Paulina St, Suite 316a, Chicago, IL 60612-3808

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