MS. MALLORY S EVERETT (NPI# 1285104430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285104430 |
| Entity Type | Individual |
| Full Name | MS. MALLORY S EVERETT |
| Credential | LPC |
| Practice Address |
15 Engle St Englewood NJ 07631-2936 |
| Mailing Address |
31 Monett Ct Morris Plains NJ 07950-1957 |
| Practice Telephone | 7186645915 |
| Mailing Telephone | 7186645915 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
37PC00651600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
15 ENGLE ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396728473 | Neal Zeisel | Physical Therapist | 15 Engle St, Suite 205, Englewood, NJ 07631-2927 | 2005-11-22 |
| 1114401742 | Caroline Yajaira Roach | Counselor | 15 Engle St, Englewood, NJ 07631-2936 | 2018-09-19 |
| 1295263713 | Stacey Zanjirian | Nurse Practitioner | 15 Engle St, Englewood, NJ 07631-2936 | 2017-05-29 |
| 1902356421 | Washington Heights Orthodontics | Dentist | 15 Engle St, Suite 303, Englewood, NJ 07631-2936 | 2016-10-07 |
| 1609253582 | Diamond Braces of Norwalk | Dentist | 15 Engle St, Suite 303, Englewood, NJ 07631-2936 | 2015-04-30 |
| 1710375498 | Diamond Braces of Norwalk | Dentist | 15 Engle St, Suite 303, Englewood, NJ 07631-2936 | 2015-01-02 |
| 1720408099 | Behavior Wellness Center and Associates, LLC | Psychologist | 15 Engle St, Suite 203, Englewood, NJ 07631-2936 | 2014-04-24 |
| 1063857878 | North Bergen Family Medicine LLC | Family Medicine | 15 Engle St, Suite 305, Englewood, NJ 07631-2936 | 2013-05-07 |
| 1346572260 | Lara Mor Zilberstein | Family Medicine | 15 Engle St, Suite 305, Englewood, NJ 07631-2936 | 2010-02-02 |
| 1508094228 | Hana Healthcare, P.C. | Acupuncturist | 15 Engle St, Suite 205, Englewood, NJ 07631-2936 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004844 | Amanda Laboy | Counselor | 75 Grand Ave Fl 1, Englewood, NJ 07631-3522 | 2019-10-08 |
| 1164084844 | Melissa Barone | Counselor | 4484 S Fox St, Englewood, CO 80110-5619 | 2019-07-02 |
| 1356805014 | Ashley Harding | Counselor | 4545 S University Blvd, Englewood, CO 80113-6059 | 2019-01-28 |
| 1356865513 | Katherine Linn | Counselor | 155 Inverness Dr W Ste 110, Englewood, CO 80112 | 2017-07-31 |
| 1659892131 | Danielle Rose Rabinovich | Counselor | 88 Inverness Cir E Ste 103, Englewood, CO 80112-5304 | 2017-07-05 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| 1194262329 | Teresa Powers | Counselor | 1201 W Stanford Ave, Englewood, CO 80110-5521 | 2017-01-26 |
| 1952764748 | David N Welch | Counselor | 16411 E Otero Ave, Englewood, CO 80112-4624 | 2016-03-30 |
| 1104201912 | Steven D Chen | Counselor | 61 Grand Avenue, Third Floor, Englewood, NJ 07631 | 2015-07-22 |
| 1396140067 | Trent Womeldorff | Counselor | 4201 S Pennsylvania St, Englewood, CO 80113-4749 | 2014-10-23 |
| Find all providers in ENGLEWOOD | ||||
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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.