Kevin Joseph Mack, PSY.D.
Clinical Psychologist · Covelo, CA
Kevin Joseph Mack, PSY.D. is a clinical psychologist with a practice address in Covelo, California, and NPI 1760416903, issued on Jul 11, 2006. Check the license (California PSY 12983, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kevin Joseph Mack
- Credential
- PSY.D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- PSY 12983 CA
Self-reported in NPPES; status is on the state search - Practice location
- 23000 Henderson Road, Covelo, CA 95428
- Phone
- (707) 983-6648
- Enumerated
- Jul 11, 2006
- Record last updated
- Jul 9, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (707) 983-6649
- Medicare enrollment
- Enrolled (PECOS I20101004000418); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 12,647 in California → Look up another NPI →
Verify Kevin Joseph Mack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PSY 12983Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Round Valley Indian Health Center, Inc.Covelo, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kevin Joseph Mack among 12,647 clinical psychologist records in California
Kevin Joseph Mack, PSY.D. is one of 12,647 clinical psychologist records with a practice address in California. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 1% of them.
- NPI issued2006 · 1% of these records are older, 80% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated1991 · median 2006 among the 2,424 with a school on file
- Record last updated2018 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 clinical psychologist record lists a practice address in Covelo
They are 1 of the 13 NPPES records with a practice address in Covelo, and 12,647 clinical psychologist records in California.
All 12,647 in California → Every provider in Covelo → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Maria Alvarez, PH.D.Cloverdale, CA 954251356538508
- Lea Queen, PSY.DCloverdale, CA 954251043522279
- Eileen Roberts, PHDCloverdale, CA 954251447309216
- Stephen Bratton, PH. DClearlake, CA 954221982923918
- Ellen Faryna, PH.D.Forestville, CA 954361518180470
- Joseph Beeney, PHDFort Bragg, CA 954371588004709
- Richard Gibb, DMHFort Bragg, CA 954371154538171
- Andie Leslie, PH.D.Fort Bragg, CA 954371568984664
Common questions
What is Kevin Joseph Mack, PSY.D.'s NPI number?
Kevin Joseph Mack, PSY.D.'s National Provider Identifier (NPI) is 1760416903, issued on Jul 11, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kevin Joseph Mack, PSY.D. located?
The NPPES record lists a practice address at 23000 Henderson Road, Covelo, CA, 95428. Phone: (707) 983-6648. Providers update this record themselves, so call before visiting.
How can I verify Kevin Joseph Mack, PSY.D.'s license?
NPPES lists California license number PSY 12983, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.