Active NPI
Mallory F. Fiery, MA
- Clinical Psychologist
- Lincolnton, NC
National Provider Identifier
1336442839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4642
- Practice address
- 518 S Aspen St
Lincolnton, NC 28092-2735 - Phone
- (704) 530-0850
- NPI assigned
- Dec 6, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4642 | NC | Primary |
Addresses
Primary practice location
518 S Aspen St
Lincolnton, NC 28092-2735
Mailing address
518 S Aspen St
Lincolnton, NC 28092-2735
Phone (704) 530-0850
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4642 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411862400000",
"number": "1336442839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 S ASPEN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280922735",
"telephone_number": "704-530-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 S ASPEN ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280922735",
"telephone_number": "704-530-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERY",
"first_name": "MALLORY",
"middle_name": "F.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2014-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.