KATHERINE OLIVIA MALLORY


Address: 4545 42nd St Nw, Suite 310, Washington, DC 20016
Phone: 9178336411

KATHERINE OLIVIA MALLORY (NPI# 1518128131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518128131
Entity Type Individual
Full Name KATHERINE OLIVIA MALLORY
Credential M.D.
Practice Address 4545 42nd St Nw
Suite 310
Washington
DC 20016
Mailing Address 16 Church St Ste 4
Lenox
MA 01240-2503
Practice Telephone 9178336411
Mailing Telephone 4135512251
Enumeration Date 2008-06-17
Last Update Date 2018-06-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
261459 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4545 42nd St Nw, Suite 310, Washington, DC 200164623 9178336411

Office Location

Street Address 4545 42ND ST NW
SUITE 310
City WASHINGTON
State DC
Zip Code 20016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801843347 Marilyn Krasner Bono Social Worker 4545 42nd St Nw, #212, Washington, DC 20016-4623 2006-05-30
1841788965 Morgan Levine Social Worker 4545 42nd St Nw, Washington, DC 20016-4623 2018-04-24
1154866333 Samantha Gordin Social Worker 4545 42nd St Nw, Washington, DC 20016-4623 2016-12-27
1578018180 Frederick Alexander Smith Psychologist 4545 42nd St Nw, Suite 204, Washington, DC 20016-4623 2016-08-24
1497156046 Elizabeth Topchik Social Worker 4545 42nd St Nw, Washington, DC 20016-4623 2014-09-12
1750782124 Sharilyn Wiskup Counselor 4545 42nd St Nw, Suite 202, Washington, DC 20016-4623 2014-09-04
1619225588 Lisa Carol Eaves Acupuncturist 4545 42nd St Nw, Ste 301, Washington, DC 20016-4623 2012-08-26
1447531371 Traci Edwardson Callandrillo Psychologist 4545 42nd St Nw, Suite 202, Washington, DC 20016-4623 2011-09-06
1174813877 Sarah Bennett Phd Psychologist 4545 42nd St Nw, Suite 202, Washington, DC 20016-4623 2011-04-14
1942517685 Mary L Froning, Psy.d., P.a. Psychologist 4545 42nd St Nw, Suite 300, Washington, DC 20016-4623 2010-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790390144 Julie Marcus Nurse Practitioner 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 2020-09-12
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1285253484 Shawn Anthony Haupt Student in an Organized Health Care Education/Training Program 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 2020-04-09
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1164063293 Christine Ju Dietitian, Registered 3517 Ordway St Nw, Washington, DC 20016 2019-09-30
1376191072 Carlitta Theresa Harris Registered Nurse 501 School Street Suite, Suite 200, Sw, DC 20016 2019-08-27
1295399384 People's Lactation LLC Registered Nurse 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 2019-04-24
1578057428 Itzhak Brook General Practice 4431 Albemarle St. Nw, Washington, DC 20016 2018-06-14
1093211724 Hannah Elise Sterling Student in an Organized Health Care Education/Training Program 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 2018-04-02
1447755616 Michele Elizabeth Zaragoza Student in an Organized Health Care Education/Training Program 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 2018-03-28
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689224776 Quality Care Services, LLC Psychiatry & Neurology 1818 New York Ave Ne Ste 222, Washington, DC 20002-1851 2019-09-19
1124685391 Howard University Psychiatry & Neurology 1001 Monroe St Ne, Washington, DC 20017-1761 2019-05-23
1073178554 Howard University Psychiatry & Neurology 5600 E Capitol St Ne, Washington, DC 20019-6732 2019-05-09
1447670443 Matthew R Salmon Psychiatry & Neurology 753 Fairmont St Nw # 1, Washington, DC 20001-3813 2014-04-17
1881937472 Kristine Goins Psychiatry & Neurology 2115 Wisconsin Ave Nw Ste 200, Washington, DC 20007 2013-04-01
1932496221 Alberta M Vallis Psychiatry & Neurology 1846 Park Rd Nw, Washington, DC 20010-1019 2011-07-07
1124275078 Stewart Leonard Aledort Psychiatry & Neurology 1070 Thomas Jefferson St. N.w., Washington, DC 20007 2008-08-22
1104080696 Judith L. Rapoport Psychiatry & Neurology 3010 44th Pl Nw, Washington, DC 20016-3557 2008-07-14
1801054374 Malena Banks Psychiatry & Neurology 401 15th St Se Unit 100-c, Washington, DC 20003-3042 2008-05-30
1326215211 Susan Katherine Theut Psychiatry & Neurology 2114 Huidekoper Pl Nw, Washington, DC 20007-1822 2008-05-11
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City WASHINGTON
Zip Code 20016

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Dataset Information

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.

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