Individual provider Active NPI

Scott Vernon Malon, PH.D.

  • Counseling Psychologist
  • Santa Cruz, CA
National Provider Identifier
1265697759
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY5560 Issued in CA
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

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PSY5560CAMDCounseling 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.

Verify at the official NPI Registry.