DR. MALLORY LAMB PSYD
NPI 1649784836
Psychologist - Clinical in Manchester, MO

Q: What is Mallory Lamb's NPI number?

The NPI number for Mallory Lamb is 1649784836. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Q: What is Mallory Lamb's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Mallory Lamb enrolled in Medicare?

No. Mallory Lamb has opted out of Medicare through October 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mallory Lamb was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 27, 2017Opted out of Medicare · through Oct 29, 2026

613 BIG BEND RD # 857, MANCHESTER, MO 63021(715) 360-4711 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Nov 27, 2017 (2 updates tracked since 2017).

On this page

About Dr. Mallory Lamb Psyd NPPES

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

DR. MALLORY LAMB PSYD (NPI 1649784836) is an individual clinical provider in Manchester, Missouri, licensed in Texas (37649) and active in the NPI registry since November 2017. She has opted out of Medicare through October 29, 2026.

NPPES Registry Identity

NPI1649784836

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MALLORY LAMBCredential: PSYD

Location Address613 BIG BEND RD # 857Manchester, MO 63021-7735

Mailing Address613 Big Bend Rd # 857Manchester, MO 63021-7735 · (715) 360-4711

Phone(715) 360-4711

Sole ProprietorNo

Enumeration DateNovember 27, 2017

Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1649784836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 37649

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

613 BIG BEND RD # 857, Manchester, MO 63021

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mallory Lamb Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 29, 2020 through October 29, 2026.

Opt-Out Effective DateOctober 29, 2020

Opt-Out In Effect ThroughOctober 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

WHITE STONE PSYCHOLOGICAL SERVICES LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

613 BIG BEND RD # 857
MANCHESTER, MO 63021

St. Louis County (314) 915-2233

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 Lamb's NPI number?

The NPI number for Mallory Lamb is 1649784836. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Mallory Lamb located?

Mallory Lamb practices at 613 Big Bend Rd # 857, Manchester, MO 63021. The listed phone number is (715) 360-4711.

What is Mallory Lamb's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mallory Lamb enrolled in Medicare?

No. Mallory Lamb has opted out of Medicare through October 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mallory Lamb was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.