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MAXX MALLOY
NPI 1104285170
Counselor in San Francisco, CA

Active since February 18, 2016
1001 POTRERO AVE, WARD 93, SAN FRANCISCO, CA 94110(628) 206-8412 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, Feb 18, 2016 (2 updates tracked since 2016).

About Maxx Malloy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXX MALLOY (NPI 1104285170) is an individual counselor in San Francisco, California and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1104285170
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMAXX MALLOY
Location Address1001 POTRERO AVE, WARD 93San Francisco, CA 94110
Mailing Address1001 Potrero Avenue, Ward 93San Francisco, CA 94110 · (628) 206-8412
Phone(628) 206-8412
Sole ProprietorNo
Enumeration DateFebruary 18, 2016
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1104285170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1001 POTRERO AVE, WARD 93, San Francisco, CA 94110
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Other Identifiers 1

OtherZZZ91892ZCA · Santa Cruz County Medicare Group Ptan#

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxx Malloy's NPI number?

The NPI number for Maxx Malloy is 1104285170. It was assigned to this individual provider in the NPPES registry on February 18, 2016.

Where is Maxx Malloy located?

Maxx Malloy practices at 1001 Potrero Ave, Ward 93, San Francisco, CA 94110. The listed phone number is (628) 206-8412.

What is Maxx Malloy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Maxx Malloy was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.