DR. MALLORY STEVENS LP
NPI 1497482012
Psychologist - School in Woodbury, MN

Active since August 03, 2022PECOS Enrolled
721 COMMERCE DR, WOODBURY, MN 55125(651) 275-7400 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Sep 10, 2024, Aug 3, 2022 (3 updates tracked since 2022).

About Dr. Mallory Stevens Lp NPPES

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

DR. MALLORY STEVENS LP (NPI 1497482012) is an individual school provider in Woodbury, Minnesota, licensed in Minnesota (LP7087) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497482012
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameDR. MALLORY STEVENSCredential: LP
Location Address721 COMMERCE DRWoodbury, MN 55125-9118
Mailing Address721 Commerce DrWoodbury, MN 55125-9118 · (612) 767-7222
Sole ProprietorNo
Enumeration DateAugust 3, 2022
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1497482012 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 MN · LP7087
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
721 COMMERCE DR, Woodbury, MN 55125

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mallory Stevens Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Speech-Language Pathologist
721 COMMERCE DR
WOODBURY, MN 55125

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 Mallory Stevens's NPI number?

The NPI number for Mallory Stevens is 1497482012. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Mallory Stevens located?

Mallory Stevens practices at 721 Commerce Dr, Woodbury, MN 55125. The listed phone number is (651) 275-7400.

What is Mallory Stevens's specialty?

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

Is Mallory Stevens enrolled in Medicare?

Yes. Mallory Stevens is registered in the Medicare PECOS enrollment system.

What insurance does Mallory Stevens accept?

Health plans from HealthPartners list Mallory Stevens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Stevens was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.