MCKENZIE RAE MALLEN
NPI 1417484973
Psychologist - School in Summerville, SC

Active since May 16, 2017
1175 CANE BAY BLVD, SUMMERVILLE, SC 29486(843) 899-1957 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, May 16, 2017 (2 updates tracked since 2017).

About Mckenzie Rae Mallen NPPES

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

MCKENZIE RAE MALLEN (NPI 1417484973) is an individual school provider in Summerville, South Carolina, licensed in South Carolina (280059) and active in the NPI registry since May 2017. She maintains a secondary practice location in Goose Creek.

NPPES Registry Identity

NPI1417484973
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameMCKENZIE RAE MALLEN
Location Address1175 CANE BAY BLVDSummerville, SC 29486-2396
Mailing Address1175 Cane Bay BlvdSummerville, SC 29486-2396
Sole ProprietorNo
Enumeration DateMay 16, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1417484973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in SC · 280059
Definition
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
1175 CANE BAY BLVD, Summerville, SC 29486

Secondary Practice Location 1

Location 1101 Gearing StGoose Creek, SC 29445-6249 · Phone (843) 572-3373

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 Mckenzie Mallen's NPI number?

The NPI number for Mckenzie Mallen is 1417484973. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Mckenzie Mallen located?

Mckenzie Mallen practices at 1175 Cane Bay Blvd, Summerville, SC 29486. The listed phone number is (843) 899-1957.

What is Mckenzie Mallen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Mckenzie Mallen was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.