DR. MALLORY STEVENS LP
NPI 1497482012
Psychologist - School in Woodbury, MN
NPI Status: Active since August 03, 2022
- Individual
- Female
- Psychologist
- School
- PECOS Enrolled
About MALLORY STEVENS
This page provides the complete NPI Profile along with additional information for Mallory Stevens, a provider established in Woodbury, Minnesota with a medical specialization in Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1497482012 assigned on August 2022. The practitioner's primary taxonomy code is 103TS0200X with license number LP7087 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1497482012
- Provider Name
- DR. MALLORY STEVENS LP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 721 COMMERCE DR WOODBURY, MN 55125
- Location Phone
- (651) 275-7400
- Mailing Address
- 721 COMMERCE DR WOODBURY, MN 55125
- Mailing Phone
- (612) 767-7222
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-03-2022
- Last Update Date
- 09-24-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist School
- Taxonomy Code
- 103TS0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LP7087
- License State
- MN
- Taxonomy Description
- A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Medicare Participation & PECOS Enrollment Status
Mallory Stevens is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. MALLORY STEVENS LP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 4 | 8 | 2 | 0 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 8 | 8 | 4 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 8 + 8 + 4 + 0 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1497482012 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043702087 | ALEXANDRA JEAN SCHUMACHER M.S. CCC-SLP Individual | Speech-Language Pathologist | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1306230487 | MARISSA HANSON LICSW Individual | Social Worker (Clinical) | 721 COMMERCE DR WOODBURY, MN 55125 (651) 424-4060 |
| 1740736578 | KATHERINE BOSCH MS, CCC-SLP Individual | Speech-Language Pathologist | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1114446572 | AMANDA MARIE JOHNSON MA, LPCC Individual | Counselor (Professional) | 721 COMMERCE DR WOODBURY, MN 55125 (763) 923-1717 |
| 1780240705 | MARGARET REYERSON Individual | Marriage & Family Therapist | 721 COMMERCE DR WOODBURY, MN 55125 (651) 424-4008 |
| 1740826650 | ASHLEY HAHN PSYD, LP Individual | Psychologist | 721 COMMERCE DR WOODBURY, MN 55125 (651) 424-4044 |
| 1811537392 | JOSEPH MICHAEL STAGG CCC/SLP Individual | Speech-Language Pathologist | 721 COMMERCE DR WOODBURY, MN 55125 (651) 895-9421 |
| 1649897570 | JORDAN PETRYNIEC Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1245822139 | MCKENNA SCHARES Individual | Speech-Language Pathologist | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1750903209 | SAVANNAH VANG Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1598430951 | JONATHON MICHAEL ANNEN Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1437829819 | GIOVANNA SUAREZ Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1962172486 | TAYLOR MARIE SWIECH Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1629730205 | MRS. GINGER LOUISE LHOTKA BT Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (651) 424-4000 |
| 1336806520 | GRACE SILER Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (218) 393-1719 |
| 1710644547 | JOSEFA NAZARETH IZAOLA-JOVEL Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (651) 414-4000 |
| 1740946649 | BRADY GUSTAFSON Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (651) 424-4000 |
| 1942967153 | JENNIFER TORRES Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (651) 276-9469 |
| 1629737143 | ELIZABETH FOURNELLE OTR/L Individual | Occupational Therapist | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
| 1639839517 | JOEL KIEFER Individual | Behavior Technician | 721 COMMERCE DR WOODBURY, MN 55125 (612) 767-7222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497482012, enumerated in the NPI registry as an "individual" on August 03, 2022
The provider is located at 721 Commerce Dr Woodbury, Mn 55125 and the phone number is (651) 275-7400
The provider's speciality is Psychologist with taxonomy code 103TS0200X with a focus in School
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on August 03, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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