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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
261459 | MA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4545 42nd St Nw, Suite 310, Washington, DC 200164623 | 9178336411 |
Street Address |
4545 42ND ST NW SUITE 310 |
City | WASHINGTON |
State | DC |
Zip Code | 20016 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
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 |
1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
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 |
Find all providers in zip 20016 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
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 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20016 |
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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.