MRS. MALLORY LYNN BAUM (NPI# 1356598486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356598486 |
| Entity Type | Individual |
| Full Name | MRS. MALLORY LYNN BAUM |
| Credential | LMFT |
| Practice Address |
606 N. Mulberry Derby KS 67037 |
| Mailing Address |
1434 S Ellis St Wichita KS 67211-3527 |
| Practice Telephone | 3167886464 |
| Practice Fax Number | 2062991262 |
| Mailing Telephone | 3162041584 |
| Mailing Fax Number | 2062991262 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2009-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1054 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200574520A | 05 |
| Street Address |
606 N. MULBERRY |
| City | DERBY |
| State | KS |
| Zip Code | 67037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1295227585 | James Todd Hawkins | Social Worker | 918 E Wedgewood Dr., Derby, KS 67037 | 2018-06-01 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1093161325 | Inspired Care LLC | In Home Supportive Care | 1400 E Warren Ave, Derby, KS 67037 | 2016-05-05 |
| 1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
| 1700264017 | Grant Snider Dds, LLC | Dentist | 2701 North Rock Road, Suite 600, Derby, KS 67037 | 2015-05-07 |
| 1629472691 | Anaidy Claudio | Social Worker | 265 W Village Lake Dr, Derby, KS 67037 | 2014-10-20 |
| 1396094470 | Derby Assisted Living, LLC | Assisted Living Facility | 719 N. Klein Circle, Derby, KS 67037 | 2012-09-05 |
| 1700104635 | Cynthia D Holcomb | Social Worker | 1721 E. Osage, Suite 300, Derby, KS 67037 | 2010-05-17 |
| 1295066215 | Traci Lynn Borland | Occupational Therapist | 731 Klein Circle, Derby, KS 67037 | 2010-01-15 |
| Find all providers in zip 67037 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193011 | Suzanne M Compton | Marriage & Family Therapist | 2306 E Meadowlark Blvd, Derby, KS 67037-4033 | 2019-09-15 |
| 1255877130 | Davis Companies LLC | Marriage & Family Therapist | 1033 N Buckner St Ste 206, Derby, KS 67037-1861 | 2017-01-16 |
| 1396142030 | Cynthia S George | Marriage & Family Therapist | 1415 N Buckner St, Derby, KS 67037-2929 | 2014-11-24 |
| 1346641636 | Cristinette Likiardopoulos | Marriage & Family Therapist | 215 E Madison Ave, Derby, KS 67037-1711 | 2014-09-05 |
| 1255731055 | Randi Black | Marriage & Family Therapist | 1121 N College Park St Ste 200, Derby, KS 67037-3639 | 2014-08-28 |
| 1144596214 | Courtney L Clark,lcmft, LLC | Marriage & Family Therapist | 920 N Rock Rd, Derby, KS 67037-3552 | 2012-03-22 |
| 1326282435 | Margaret King Anderson | Marriage & Family Therapist | 50 Olivia St, Derby, CT 06418-1735 | 2009-04-21 |
| 1780859165 | Amy Meek Family Therapy | Marriage & Family Therapist | 1525 N Buckner St, Derby, KS 67037-2948 | 2008-04-25 |
| 1376743567 | George J Sevick | Marriage & Family Therapist | 1033 N. Buckner, Suite 206, Derby, KS 67037 | 2007-07-25 |
| 1316971997 | Amber Harris | Marriage & Family Therapist | 1033 N Buckner St, 206, Derby, KS 67037-1824 | 2006-07-10 |
| Find all providers in DERBY | ||||
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| 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.