Mallory Bolenbaugh
NPI 1619885969ActiveIndividual· Psychologist· Topeka, KS
Psychologist in Topeka, Kansas, licensed in IA and FL, with an NPI issued in August 2026.
Overview
| NPI | 1619885969 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 28, 2026 |
| Last updated in NPPES | Aug 28, 2026 |
| Certified by provider | Aug 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 110570 | IA |
| Psychologist | 103T00000X | PY11747 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Topeka
- 1083116628
- 1679914717
- 1225147085
- 1821380494
- 1215547294
- 1093852063
- 1467714006
- 1124022736
- 1366588899
- 1013911627
- 1003991738
- 1659929453