1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Marriage Family Therapist
  6. NPI Profile

MR. SCOTT ROBERT MALLON
NPI 1700164803
Marriage & Family Therapist in Staten Island, NY

Active since July 25, 2011
1688 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 815-4111 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 is a graduate of Other (2009).

NPPES Registry Identity

NPI1700164803
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SCOTT ROBERT MALLON
Location Address1688 VICTORY BLVDStaten Island, NY 10314-3547
Mailing Address1688 Victory BlvdStaten Island, NY 10314-3547 · (718) 815-4111
Phone(718) 815-4111
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 25, 2011
✔ NPI 1700164803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NY · 000874-1
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1688 VICTORY BLVD, Staten Island, NY 10314
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Mr. Scott Robert Mallon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688162027
PECOS Enrollment IDI20251018000707

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.

ANNE LEVESQUE LCSWR
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
KATHRYN MARIE RYAN LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
JANICE KOWALSKI LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
PAK LING CHEUNG
Counselor (Mental Health)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
KELLEY NOELLE COPE LMSW
Social Worker
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
ROBERTO JENNINGS CASAC
Counselor (Addiction (Substance Use Disorder))
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
RACHEL MARNI KELLNER LMSW
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700
STANELY CHARZEWSKI LCSWR
Social Worker (Clinical)
1688 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-5700

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?

Yes. Scott Mallon is registered in the Medicare PECOS enrollment system.

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.