Active NPI
Mallory Faust, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- L8-0010686
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-2200 - Phone
- (302) 307-6143
- Fax
- (252) 250-2375
- NPI assigned
- Jul 16, 2024
- Last updated
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC006879 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010686 | DE | Primary |
| Registered Nurse | 163W00000X | L1-0070369 | DE |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 307-6143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0070369 | DE | MD | Registered Nurse |
| AC006879 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Initiatives | Current | Accepting new patients | |
| Christiana Care Health Initiatives | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
501 W 14th St
Fl 3
Wilmington, DE 19801
Phone (302) 320-2962
501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100
Organizations & group practices 5
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.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba CCHI Family Medicine
- Family Medicine Physician
- Newark, DE
- NPI 1083083216
-
dba CCHI Specialty Services
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Newark, DE
- NPI 1386249738
-
dba Christiana Care Substance Consult Srvc
- Addiction Medicine (Internal Medicine) Physician
- Wilmington, DE
- NPI 1043853120
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1235977075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-307-6143",
"fax_number": "252-250-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-307-6143",
"fax_number": "252-250-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "MALLORY",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC006879",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0010686",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0070369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.