Sheryl Mallory-Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ASW853931 Issued in CA

Practice address

1107 S Mollison Ave
El Cajon, CA 92020-7735

Phone

(619) 660-3886

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Positive Changes

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • El Cajon, CA
  • NPI 1912447731
  NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1639817562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 EL CAJON BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427420",
            "telephone_number": "619-660-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MOLLISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920207735",
            "telephone_number": "619-660-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7474 El Cajon Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919427420",
            "country_code": "US",
            "telephone_number": "619-660-3886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLORY-JOHNSON",
        "first_name": "SHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW853931",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "227344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daneth Arabia Maldonado
• Marylou Maldonado, RN, LMFT
• Rachel Maldonado
• Justin Eli Mallit, PA-C
• Alyssia Naomi Malloian, LMFT
• Nancy Lynn Mallow
• Alexander Thomas Maloney
• Lina Basam Mamiza, PHARM D
• Rawaa Mamiza
• Araceli Mancilla

• Mental Health Counselor in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.