Jesse David Malott

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3381 Issued in TN

Practice address

2861 Broad Ave
Memphis, TN 38112-2903

Phone

(901) 701-2520

Fax

(901) 325-6469

NPI assigned

Aug 24, 2011

Sex

Male

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesse.malott@christchs.eclinicaldirectplus.com

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.

• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1982686614
  Medicare reassignment NPD
• Christ Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, TN
  • NPI 1871299297
  NPD
• Christ Community Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Memphis, TN
  • NPI 1972892727
  NPD
• Mercy Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Franklin, TN
  • NPI 1952480501
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1659651487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 BROAD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381122903",
            "telephone_number": "901-701-2520",
            "fax_number": "901-325-6469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 Kirby Whitten Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381342811",
            "country_code": "US",
            "telephone_number": "901-440-0989",
            "fax_number": "901-425-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOTT",
        "first_name": "JESSE",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Malone, M.D.
• Quela Malone
• Rashalda Malone
• Shannon E Malone, MD
• Kelsey Maloney, PHD
• Chichetaram Ruth Mamah, MBBS
• Ewelina K Mamcarz, MD
• Amy Man, MD
• Reshmi Manandhar
• Jimmie Mancell, MD

• Clinical Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.