SHANNON J MALLAM
NPI 1720585193
Counselor - Mental Health in Oklahoma City, OK

Active since April 11, 2018
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105(405) 424-7711 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2018, Apr 11, 2018 (2 updates tracked since 2018).

About Shannon J Mallam NPPES

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

SHANNON J MALLAM (NPI 1720585193) is an individual mental health provider in Oklahoma City, Oklahoma and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1720585193
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON J MALLAM
Location Address4400 N LINCOLN BLVDOklahoma City, OK 73105-5108
Mailing Address4400 N Lincoln BlvdOklahoma City, OK 73105-5108 · (405) 422-8800
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
NPI 1720585193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4400 N LINCOLN BLVD, Oklahoma City, OK 73105

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.

Counselor (Mental Health)
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Counselor (Mental Health)
4400 N LINCOLN BLVD, RED ROCK BEHAVIORAL HEALTH SERVICES
OKLAHOMA CITY, OK 73105
Case Manager/Care Coordinator
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Case Manager/Care Coordinator
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Case Manager/Care Coordinator
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Specialist/Technologist (Athletic Trainer)
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Case Manager/Care Coordinator
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105
Social Worker (Clinical)
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105

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 Shannon Mallam's NPI number?

The NPI number for Shannon Mallam is 1720585193. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Shannon Mallam located?

Shannon Mallam practices at 4400 N Lincoln Blvd, Oklahoma City, OK 73105. The listed phone number is (405) 424-7711.

What is Shannon Mallam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shannon Mallam was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.