DR. MALLORY MALKIN (NPI# 1942563507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942563507 |
| Entity Type | Individual |
| Full Name | DR. MALLORY MALKIN |
| Credential | PH.D. |
| Practice Address |
1 Lincoln Pkwy 202 Hattiesburg MS 39402-3262 |
| Practice Telephone | 6012888050 |
| Mailing Telephone | 6012888050 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
55 980 | MS | Behavioral Health & Social Service Providers |
| Street Address |
1 LINCOLN PKWY 202 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669486692 | Brent D Bevard | Physical Medicine & Rehabilitation | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2006-07-27 |
| 1346691714 | Billy J Thornton | Nurse Practitioner | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2016-06-28 |
| 1568874808 | Lacey Loy Herrington | Student in an Organized Health Care Education/Training Program | 1 Lincoln Pkwy, Hattiesburg, MS 39402-3262 | 2014-05-21 |
| 1790104750 | Southern Laboratory Services, LLC | Clinical Medical Laboratory | 1 Lincoln Pkwy, Suite 101, Hattiesburg, MS 39402-3262 | 2014-04-07 |
| 1710302922 | Tamra Lynn Thomas | Nurse Practitioner | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2014-02-25 |
| 1629403480 | Forrest County General Hospital | Obstetrics & Gynecology | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2013-09-11 |
| 1356774772 | Christina I Williams | Psychologist | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2013-08-21 |
| 1447682729 | Steffany Bedwell | Nurse Practitioner | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2013-08-08 |
| 1689016065 | Philip C Hemphill | Social Worker | 1 Lincoln Pkwy, Suite 204, Hattiesburg, MS 39402-3262 | 2013-07-25 |
| 1023350006 | Lincoln Center Clinic | Family Medicine | 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402-3262 | 2013-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891136818 | Children's Psychiatric Clinic | Psychologist | 3531 Lakeland Dr Ste 1052, Flowood, MS 39232-8016 | 2013-07-08 |
| 1184724569 | James B Austin | Psychologist | 1855 Crane Ridge Drive, Suite A, Jackson, MS 39216-4944 | 2006-09-25 |
| 1093818064 | John E Fontaine Iv | Psychologist | 1855 Crane Ridge Dr Ste A, Jackson, MS 39216-4944 | 2006-09-06 |
| 1386285765 | Danny J Olmi | Psychologist | 2510 Lakeland Ter, Jackson, MS 39216-4702 | 2019-10-07 |
| 1376094532 | Jackson Family First | Psychologist | 125 Cedarwood Dr, Jackson, MS 39212-2208 | 2016-10-21 |
| 1184063505 | Diana J Whalen | Psychologist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-19 |
| 1942646161 | Melora Wiley | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2013-05-14 |
| 1316290067 | Andres G Viana | Psychologist | 2500 N State St, Dept of Psychiatry, Jackson, MS 39216-4500 | 2012-10-18 |
| 1356625081 | Crystal S. Lim | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2011-09-29 |
| 1619907771 | Dorothy Scattone | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on DR. MALLORY MALKIN.
| 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.