Mallory Trescone, EDS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

10004533 Issued in IN

Practice address

7600 W Reeves Rd
Bloomington, IN 47404-9639

Phone

(812) 876-2219

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By 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": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1629898937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W REEVES RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049639",
            "telephone_number": "812-876-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W REEVES RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049639",
            "telephone_number": "812-876-2219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 W Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Ellettsville",
            "state": "IN",
            "postal_code": "474291141",
            "country_code": "US",
            "telephone_number": "812-876-2219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRESCONE",
        "first_name": "MALLORY",
        "credential": "EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10004533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Travis, RN
• Beatrice Claire Travis, M.D.
• Amanda Trent, MS, CC-SLP
• Stephanie Lyn Trent, PHD LMHC LCAC
• Thomas Andrew Trent, LCSW
• Richard Craig Trevino, O.D.
• Carol Trevithick, M.D.
• Sanjay P Tripathi, MD
• Jessica Troxel, LCSW
• Todd Nicholas Troxell, DO

• School Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.