MR. SCOTT ROBERT MALLON
NPI 1700164803
Marriage & Family Therapist in Staten Island, NY
About Mr. Scott Robert Mallon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SCOTT ROBERT MALLON (NPI 1700164803) is an individual marriage & family therapist in Staten Island, New York, licensed in New York (000874-1) and active in the NPI registry since July 2011. He has opted out of Medicare through July 1, 2028 and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Scott Robert Mallon 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 July 1, 2026 through July 1, 2028.
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.
STATEN ISLAND, NY 10314
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 Scott Mallon's NPI number?
The NPI number for Scott Mallon is 1700164803. It was assigned to this individual provider in the NPPES registry on July 25, 2011.
Where is Scott Mallon located?
Scott Mallon practices at 1688 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 815-4111.
What is Scott Mallon's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Scott Mallon enrolled in Medicare?
No. Scott Mallon has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Scott Mallon accept?
Health plans from Providence Health Plan list Scott Mallon 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 Scott Mallon was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Scott Robert Mallon · NPI 1700164803
Marriage & Family Therapist provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since July 25, 2011.
## Identity
- **NPI:** 1700164803 (Entity type: Individual)
- **Enumerated:** July 25, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 000874-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1688 VICTORY BLVD, Staten Island, NY 10314-3547
- **Phone:** (718) 815-4111
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2028); services are provided under private contract
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 25, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1700164803) · Data from the CMS NPPES public registry.