Mallory Elisa Penzotti

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

130 W 6TH St
Chico, CA 95928-5508

Phone

(530) 894-8008

Fax

(530) 894-5791

NPI assigned

Mar 1, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youth for Change

  • Adolescent and Children Mental Health Clinic/Center
  • Chico, CA
  • NPI 1811159668
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1053651976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 6TH ST",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285508",
            "telephone_number": "530-894-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 6TH ST",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285508",
            "telephone_number": "530-894-8008",
            "fax_number": "530-894-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZOTTI",
        "first_name": "MALLORY",
        "middle_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Pendergraft
• Linda Pendleton, PA-C
• Deborah Ann Penner, DC
• Pennington Optometric Corporation (Chico Vision Care)
• Obbie Pennington, O.D.
• Maximus Johannes Peperkamp
• Sydney Pepper, C-FSD
• Ellen Rose Perdue, R.N.
• Emily Christine Pereira
• Paola E. Perez-Corona

• Mental Health Counselor in Chico, CA
• Providers in Chico, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.