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

Mary Lynne Mack, PHD

Individual provider Psychologist · NPI 1700811015

Mary Lynne Mack, PHD is a Clinical Psychologist in Scottsdale, Arizona. Qualified in 2003, 23 years ago. Practices as a sole proprietor. Licensed in Arizona and Wisconsin.

Years since qualifying
23
Licensed in
AZ, WI
In the registry since
2006
Specialties on file
2
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

5635 N Scottsdale Rd Ste 170
Scottsdale, AZ 85250-5945
Phone: (480) 737-6076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2598-057 (WI)
Psychologist Taxonomy 103T00000X · Licence PSY-005478 (AZ)

Record details

NPI number1700811015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 12, 2006
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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