Mallory Psychological and Consulting Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MALLORY PSYCHOLOGICAL AND CONSULTING SERVICES, LLC

Practice address

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902

Phone

(615) 412-8909

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Yvette Mallory, PSYDNPI 1659824308

Title

Licensed Psychologist, Owner

Phone

(615) 412-8909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvette Mallory, PSYD

  • Counseling Psychologist
  • Mt. Juliet, TN
  • NPI 1659824308
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1265240543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 LEBANON RD",
            "address_2": "PMB 1008",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371225545",
            "telephone_number": "615-412-8909",
            "fax_number": "615-358-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372155902",
            "telephone_number": "615-412-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY PSYCHOLOGICAL AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "615-412-8909",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Mallard, M.D.
• Maureen Mallas
• Nicholas Steven Mallett, MD
• Veronica T Mallett, MD
• Alyssa Mallia
• Edward Kemp Mallory, DPH
• Paul William Mallory, M.D.
• Jama Elizabeth Malloy, MSN, APRN, PMHNP-BC
• Kelsey Willen Malloy, M.D.
• Paul Michael Malloy, ATC

• Psychologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.