Active NPI
Margaret Leslie Mallory-Powell, PH.D.
- Clinical Psychologist
- Chevy Chase, MD
National Provider Identifier
1356516132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04522
- Practice address
- 5480 Wisconsin Ave Ste 223
Chevy Chase, MD 20815-3503 - Phone
- (301) 576-6044
- NPI assigned
- Apr 23, 2008
- Last updated
- Aug 28, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1000495 | DC | |
| Clinical Psychologist | 103TC0700X | 04522 | MD | Primary |
Addresses
Primary practice location
5480 Wisconsin Ave Ste 223
Chevy Chase, MD 20815-3503
Mailing address
2560 Bear Den Rd
Frederick, MD 21701-5230
Phone (240) 602-1107
Other practice location 1
4130 Albemarle St NW
Washington, DC 20016-2106
Phone (202) 282-0110
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 |
|---|---|---|---|
| 1000495 | DC | MD | Clinical Psychologist |
| 04522 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain Modulation Services, LLC | Current | Accepting new patients | |
| Washington Behavioral Medicine Associates, LLC | Past | Accepting new patients |
Locations
5480 Wisconsin Ave
Ste 223
Chevy Chase, MD 20815
Phone (301) 455-4149
Interoperability endpoints
- margaret.mallory-powell.1@28075.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Chevy Chase, MD
- NPI 1609409150
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chevy Chase, MD
- NPI 1336553320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1356516132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 BEAR DEN RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015230",
"telephone_number": "240-602-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE STE 223",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153503",
"telephone_number": "301-576-6044"
}
],
"practiceLocations": [
{
"address_1": "4130 Albemarle St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162106",
"country_code": "US",
"telephone_number": "202-282-0110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLORY-POWELL",
"first_name": "MARGARET",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "1000495",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
- Maira Hameed MD LLC (American Pain and Wellness Centers)
- Amy Maisterra, LCSW
- Melissa Christine Majumdar, RD, LDN, CPT
- Nora Malaisrie, MD
- Kanika Malhotra
- Danielle Mandir
- Keon B. Manesh, DDS, MS
- Manor Care of Chevy Chase MD, LLC (ProMedica Skilled Nursing and Rehabilitation (Chevy Chase))
- Alix L Mansbach, PSY.D.
- Esteban Guillermo Mantilla Rodriguez, PHYSICIAN ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.