Mallory Lamb, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37649 Issued in TX

Practice address

613 Big Bend Rd # 857
Manchester, MO 63021-7735

Phone

(715) 360-4711

NPI assigned

Nov 27, 2017

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

Opted out of Medicare

Yes, effective Oct 29, 2020 through Oct 29, 2026

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.

• White Stone Psychological Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, MO
  • NPI 1548868821
  NPD Authorized official
• White Stone Psychological Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plano, TX
  • NPI 1255146122
  NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1649784836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 BIG BEND RD # 857",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630217735",
            "telephone_number": "715-360-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 BIG BEND RD # 857",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630217735",
            "telephone_number": "715-360-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "MALLORY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Kohler
• Stephanie Konradi
• Brian R Kuhn, M.A., L.P.C
• Celeste Kurtz
• Lafayette Work Center, Inc.
• Ashley Large
• Husain Lateef, PHD, MSW
• Lawrence B. Iken,DPM,LLC
• Lawrence Physical Therapy and Performance, LLC
• Lifemend LLC

• Clinical Psychologist in Manchester, MO
• Providers in Manchester, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.