DR. MICHAEL STEPHEN MALLAHAN (NPI# 1194720367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194720367 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STEPHEN MALLAHAN |
| Credential | AU.D. |
| Practice Address |
15906 Mill Creek Blvd Suite 102 Mill Creek WA 98012-1797 |
| Practice Telephone | 4252252626 |
| Practice Fax Number | 4252252634 |
| Mailing Telephone | 4252252626 |
| Mailing Fax Number | 4252252634 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2010-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | LD0001117 | WA | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
LD00001117 | WA | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
LD00001117 | WA | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | LD00001117 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT. OF LABOR & IND. | 117072 | 01 |
| WA | REGENCE ID # | MA5615 | 01 |
| WA | 7089592 | 05 |
| Street Address |
15906 MILL CREEK BLVD SUITE 102 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063862605 | Masha Mobbley | Nurse Practitioner | 15906 Mill Creek Blvd, Mill Creek, WA 98012-1797 | 2016-06-14 |
| 1437578051 | Navid David Malakouti | Dermatology | 15906 Mill Creek Blvd, Mill Creek, WA 98012-1797 | 2014-04-10 |
| 1942646336 | Stella Han In | Physical Therapist | 15906 Mill Creek Blvd, #106, Mill Creek, WA 98012-1797 | 2013-05-13 |
| 1295005809 | Katelyn Ann Rowland | Nurse Practitioner | 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012-1797 | 2012-01-12 |
| 1104115963 | Sowmya Ravi Jeyamohan | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1797 | 2011-04-01 |
| 1477874311 | Hyunhee Park | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1797 | 2010-06-15 |
| 1548426885 | North Sound Dermatology P.C., Inc. | Dermatology | 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012-1234 | 2008-08-06 |
| 1700050317 | Katrina Bassett | Dermatology | 15906 Mill Creek Blvd, #105, Mill Creek, WA 98012-1797 | 2008-04-15 |
| 1316133655 | Hearing & Balance Lab PC | Audiologist | 15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 | 2007-09-20 |
| 1396887683 | Mary Alice Duhme | Physical Therapist | 15906 Mill Creek Blvd, Suite 106, Mill Creek, WA 98012-1797 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316133655 | Hearing & Balance Lab PC | Audiologist | 15906 Mill Creek Blvd, Suite 102, Mill Creek, WA 98012-1797 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618719 | Eric Casey Kinney | Audiologist | 4815 N Assembly St Bldg 41, Spokane, WA 99205-6185 | 2020-08-05 |
| 1205457413 | Jacob T Barber | Audiologist | 19319 7th Ave Ne Ste 102, Poulsbo, WA 98370-7442 | 2020-04-28 |
| 1164071205 | Richard Grant Nielsen | Audiologist | 8102 W Grandridge Blvd Ste A, Kennewick, WA 99336-7157 | 2019-09-11 |
| 1154979045 | Kindra Veith | Audiologist | 10564 5th Ave Ne Ste 203, Seattle, WA 98125-7200 | 2019-09-03 |
| 1659933893 | Sara Marie Sommers | Audiologist | 8830 Tallon Ln Ne Ste D, Lacey, WA 98516-6657 | 2019-07-08 |
| 1841759230 | Hayden Bruce | Audiologist | 538 N 5th Ave, Sequim, WA 98382-3079 | 2019-03-15 |
| 1235623133 | Ashley Loney | Audiologist | 4750 32nd Ave S Apt 110, Seattle, WA 98118-2226 | 2018-06-14 |
| 1720570641 | Anne Glashan | Audiologist | 1901 S 72nd St Ste A-14, Tacoma, WA 98408-1200 | 2018-06-06 |
| 1811497100 | Lin Kowitz | Audiologist | 13935 103rd Ave Ne, Kirkland, WA 98034-5220 | 2018-02-13 |
| 1073037495 | Cory A Scott | Audiologist | 600 Broadway Ste 230, Seattle, WA 98122-7425 | 2017-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
Please comment or provide details below to improve the information on DR. MICHAEL STEPHEN MALLAHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.