Mallory Kathleen Anderson-Debell, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401616 Issued in NY

Practice address

2452 U.S Route
Suite 206
Malta, NY 12020-5142

Phone

(518) 292-5433

Fax

(518) 899-4930

NPI assigned

Jul 19, 2013

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parsons Child and Family Center

  • Custodial Care Facility
  • Albany, NY
  • NPI 1922171305

  Single Specialty

  Medicare reassignment NPD
• Parsons Child and Family Center

  • Case Management Agency
  • Albany, NY
  • NPI 1609242395
  NPD (past)

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1831531755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 ROUTE 9",
            "address_2": "SUITE 206",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "12118",
            "telephone_number": "518-292-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 U.S ROUTE",
            "address_2": "SUITE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205142",
            "telephone_number": "518-292-5433",
            "fax_number": "518-899-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-DEBELL",
        "first_name": "MALLORY",
        "middle_name": "KATHLEEN",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adirondack Registered Professional Nursing Services PLLC (Adirondack Health and Wellness)
• Agape' Eye Care Optometrist PLLC
• Alexander Pisanello Physical Therapy PLLC
• Mouhab Aljajeh, MD
• Conor Alund
• Apple Community Pharmacy (Apple Community Pharmacy Inc)
• Whitney Aussicker, LCSW
• Avery's Taxi LLC
• Lina Bajwa, DMD
• Antoinette Filomena Baldino, RPH

• Psychiatric/Mental Health Nurse Practitioner in Malta, NY
• Providers in Malta, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.