DR. KEVIN FREDERICK MALLON (NPI# 1417930009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417930009 |
| Entity Type | Individual |
| Full Name | DR. KEVIN FREDERICK MALLON |
| Credential | PH.D. |
| Practice Address |
1925 Nw Amberglen Pkwy Suite 300 Hillsboro OR 97006-6945 |
| Mailing Address |
Po Box 1034 (portland Vamc - Hills Cboc) Portland OR 97207-1034 |
| Practice Telephone | 5039065019 |
| Practice Fax Number | 5039065193 |
| Mailing Telephone | 5039065019 |
| Mailing Fax Number | 5039065193 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PSY13735 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY13735 | CA | Behavioral Health & Social Service Providers |
| Y | 103TH0004X |
Psychologist Specialization: Health |
PSY 13735 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1925 NW AMBERGLEN PKWY SUITE 300 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97006-6945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740408012 | Lisa Michele Lazo Gilbert | Family Medicine | 1925 Nw Amberglen Pkwy, Suite 300, Hillsboro, OR 97006-6945 | 2007-04-23 |
| 1356427215 | James Iwaniec | Internal Medicine | 1925 Nw Amberglen Pkwy, Hills-cboc, Hillsboro, OR 97006-6945 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740801455 | Dr. Nicole Reynolds LLC | Psychologist | 271 3rd St, Astoria, OR 97103-4311 | 2020-05-04 |
| 1326588708 | Susan Kathleen Glinka | Psychologist | 18040 Sw Lower Boones Ferry Rd, Suite 304, Tigard, OR 97224-7258 | 2017-03-03 |
| 1730560020 | Renee Cavanagh | Psychologist | 870 82nd Dr, Gladstone, OR 97027-1803 | 2015-06-12 |
| 1629482674 | Heather Hopson | Psychologist | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2014-06-18 |
| 1073635678 | Karyn Lynn Angell | Psychologist | 1852 Willamette St, Eugene, OR 97401-4044 | 2007-04-04 |
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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.