Sharon D Mallon, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002528 Issued in CT

Practice address

251 Westbrook Rd
Essex, CT 06426

Phone

(860) 767-1277

Fax

(860) 767-7712

NPI assigned

Sep 22, 2006

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

Other names 1

• Sharon D Kraft Mallon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Pathways Center for Learning & Behavioral Health, LLC

  • Marriage & Family Therapist
  • Essex, CT
  • NPI 1467760595
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154421071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WESTBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "06426",
            "telephone_number": "860-767-1277",
            "fax_number": "860-767-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WESTBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "06426",
            "telephone_number": "860-767-1277",
            "fax_number": "860-767-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLON",
        "first_name": "SHARON",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "KRAFT MALLON",
            "middle_name": "D",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Mitchell Luster, M.D.
• Virginia L Maher Wiese, MD
• Stephen Paul Maier II, MD
• Kayla Makara, RN
• Elyssa Malings
• Louise M Maloney, MD
• Vincenzo Marafito, BA
• Michele Marsh, LPC
• Elizabeth Marshall, APRN
• Amy Martin, RPH

• Clinical Psychologist in Essex, CT
• Providers in Essex, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.