Mallory Younghong Mao, ED.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

KY 1111 Issued in KY

Practice address

3326 Pioneer TRL
Shepherdsville, KY 40165-9203

Phone

(502) 744-7422

NPI assigned

Jun 9, 2014

Last updated

Jun 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1467865303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 PIONEER TRL",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401659203",
            "telephone_number": "502-744-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 PIONEER TRL",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401659203",
            "telephone_number": "502-744-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "MALLORY",
        "middle_name": "YOUNGHONG",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "KY 1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Miller Lloyd
• Lynndi Sue Lockenour, M.ED., LPCC
• Elizabeth Michele Logsdon, LSW
• Paz Lotan, M.D.
• Jessica Leigh Lucas, APRN
• Heather Nicole Mason, APRN
• Amanda Mattingly
• Traci Renee McAdams, M.S, R.D., L.D.
• Catherine McCall, DPT
• Daniel McCarthy, LPCC

• Counseling Psychologist in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Counseling Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.