Mallory Stevens, LP
NPI 1497482012ActiveIndividual· Psychologist, School· Woodbury, MN
Psychologist, School (LP) in Woodbury, Minnesota, licensed in MN, with an NPI issued in August 2022. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1497482012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LP |
| Sole proprietor | No |
| NPI issued | Aug 3, 2022 |
| Last updated in NPPES | Sep 24, 2024 |
| Certified by provider | Sep 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, School Primary | 103TS0200X | LP7087 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
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