Provider Type Icon

DR. KEVIN FREDERICK MALLON PH.D. NPI 1417930009


NPI Information

NPI: 1417930009
Provider Name: DR. KEVIN FREDERICK MALLON, PH.D.
Classification: Psychologist - 103TH0004X
Entity Type: Individual

Specialization: Health

Address:
1925 NW AMBERGLEN PKWY
SUITE 300
HILLSBORO, OR
ZIP 97006
Phone: (503) 906-5019
Get Directions

DR. Kevin Frederick Mallon, PH.D. is a health psychologist in Hillsboro, OR. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • DR. Kevin Frederick Mallon, PH.D. NPI is 1417930009. The provider is registered as an individual entity type.

    The NPPES NPI record indicates the provider is a male.

    The provider's business location address is:

    1925 NW AMBERGLEN PKWY
    SUITE 300
    HILLSBORO, OR
    ZIP 97006-945
    Phone: (503) 906-5019
    Fax: (503) 906-5193

    The enumeration date for this NPI number is 11/28/2005 and was last updated on 11/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPSY13735CALIFORNIANo
2103TC0700XPsychologistClinicalPSY13735CALIFORNIANo
3103TH0004XPsychologistHealthPSY 13735CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OPL137350MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.