MALLORY HAGLUND (NPI# 1679949358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679949358 |
| Entity Type | Individual |
| Full Name | MALLORY HAGLUND |
| Practice Address |
284 West Rocky Lane Boulder NV 55114 |
| Mailing Address |
3850 Las Vegas Blvd S Las Vegas NV 89109-4324 |
| Practice Telephone | 6816645541 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1125 | NV | Behavioral Health & Social Service Providers |
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3850 Las Vegas Blvd S, Las Vegas, NV 891094324 | 6516814567 |
| Street Address |
284 WEST ROCKY LANE |
| City | BOULDER |
| State | NV |
| Zip Code | 55114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| 1710263710 | University Adult Day Care Center Inc | Clinic/Center | 2434 University Ave W, Saint Paul, MN 55114 | 2011-10-23 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345458 | Boulder Alcohol Education Center Inc | Psychologist | 1525 Spruce St Ste 100, Boulder, CO 80302-4256 | 2020-01-13 |
| 1558767764 | Cynthia Rutledge | Psychologist | 255 Canyon Blvd Ste 300, Boulder, CO 80302-4954 | 2014-11-16 |
| 1346378809 | Robert Lee March IIi | Psychologist | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1124650015 | Alexandra Wilcox | Psychologist | 322 Wintercress Dr, Henderson, NV 89002-5137 | 2020-02-07 |
| 1972011492 | On A Cloud Therapy | Psychologist | 848 N Rainbow Blvd # 4818, Las Vegas, NV 89107-1103 | 2018-01-18 |
| 1669904876 | Rachael Sand | Psychologist | 12251 Avalon Canyon Ct, Las Vegas, NV 89138-4621 | 2017-03-28 |
| 1235674425 | Bobby Vavla, LLC | Psychologist | 8987 W Flamingo Rd Ste 105, Las Vegas, NV 89147-0437 | 2016-12-27 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| 1477791713 | Sharon L. Steele | Psychologist | 979 Melba Dr, Reno, NV 89503-2730 | 2009-01-24 |
| 1295993863 | Jeffrey Christopher Wood | Psychologist | 555 California Ave, Boulder City, NV 89005-2757 | 2008-05-29 |
| 1356470108 | Glenda Lee Allen | Psychologist | 835 Rock Blvd, Sparks, NV 89431 | 2007-03-05 |
| 1922056415 | The Life Change Center | Psychologist | 130 Vine St, Reno, NV 89503-5546 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
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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.