Julie Anna Mall, PSY.2D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6653 Issued in FL

Practice address

432 Tortoise View Circle
Satellite Beach, FL 32937-3801

Phone

(321) 432-2865

Fax

(321) 777-5806

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960
  Medicare reassignment Care Compare group NPD
• Progressive Counseling Centers Inc

  dba Brevard Outpatient Alternative Treatment

  • Addiction (Substance Use Disorder) Counselor
  • Satellite Beach, FL
  • NPI 1275692204
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1114191426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 TORTOISE VIEW CIR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 TORTOISE VIEW CIRCLE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373801",
            "telephone_number": "321-432-2865",
            "fax_number": "321-777-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALL",
        "first_name": "JULIE",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "PSY.2D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2026-09-29",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Liston, RPH
• Sheilah Kelley Logan, LMHC
• Gary J Lovette, PH.D.
• Kathleen M Lucas, LMHC
• Gail Ranea Mackey, MSW, LCSW
• Guillermo Daniel Maravi, PHARMD
• David Fitzgerald Marsh, COTA/L
• Jean Masciale-Shoemaker, LCSW
• Maverick Medical Services LLC
• Hannah McCaffery

• Clinical Psychologist in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.