Active NPI
Scott Vernon Malon, PH.D.
- Counseling Psychologist
- Santa Cruz, CA
National Provider Identifier
1265697759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY5560
- Practice address
- 815 Riverside Ave Apt 2
Santa Cruz, CA 95060-4534 - Phone
- (831) 426-3361
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY5560 | CA | Primary |
Addresses
Primary practice location
815 Riverside Ave Apt 2
Santa Cruz, CA 95060-4534
Mailing address
815 Riverside Ave Apt 2
Santa Cruz, CA 95060-4534
Phone (831) 426-3361
Other names 1
- Dr. James Vernon Malon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5560 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1265697759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 RIVERSIDE AVE APT 2",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604534",
"telephone_number": "831-426-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 RIVERSIDE AVE APT 2",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604534",
"telephone_number": "831-426-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALON",
"first_name": "SCOTT",
"middle_name": "VERNON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY5560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "MALON",
"middle_name": "VERNON",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.