Kristen Mallon

Primary specialty

Social WorkerTaxonomy code 104100000X

License

091739-1 Issued in NY

Practice address

4915 Tenth Ave.
Brooklyn, NY 11219

Phone

(718) 283-1324

Fax

(718) 635-7044

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

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.

• Putnam Family and Community Services Inc

  • Mental Health Counselor
  • Carmel, NY
  • NPI 1497737167

  NY

  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  NY

  Medicare reassignment NPD
• Putnam Family and Community Services Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Putnam Family and Community Services Inc 12 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mallon.mallon.p1@direct.mmc.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2016.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1972059574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 TENTH AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-1324",
            "fax_number": "718-635-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 TENTH AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-1324",
            "fax_number": "718-635-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLON",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbas Hayat Mallick, M.D.
• Maham Mallick
• Shahla Sohaib Mallick
• Mark Mallinson, L.C.S.W.
• Ariane Mallon, OTR/L
• Maya Danielle Mallory, LMSW
• Jeda Malloy-Jackson
• Erica L Malloy, NP
• Kathleen Malloy, MD
• Melanie Malloy, M.D., PH.D.

• All providers in Brooklyn, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.