MAXX MALLOY
Counselor

Address: 1001 Potrero Ave, Ward 93, San Francisco, CA 94110

MAXX MALLOY (NPI# 1104285170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104285170
Entity Type Individual
Full Name MAXX MALLOY
Gender Female
Practice Address 1001 Potrero Ave, Ward 93
San Francisco
CA 94110
Practice Telephone 6282068412
Mailing Address 1001 Potrero Avenue, Ward 93
San Francisco
CA 94110
Mailing Telephone 6282068412
Certification Date 2020-10-05
Enumeration Date 2016-02-18
Last Update Date 2020-10-05
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
ZZZ91892Z CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN# Other

Office Location

Street Address 1001 POTRERO AVE, WARD 93
City SAN FRANCISCO
State CA
Zip Code 94110

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1154851798 Anthony Jermaine Hatten Specialist 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 2017-06-15
1427523083 John Pier Shaw Counselor - Mental Health 1550 Treat Street, San Francisco, CA 94110 2018-10-10
1568825040 James Milburn Registered Nurse 1001 Petrero Ave, San Francisco, CA 94110 2016-04-01
1285188045 Anubhuti Sharma · Anubhuti Misra Dentist 2813 Mission Street, San Francisco, CA 94110 2016-08-10
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1003339300 April May Moyer Student in an Organized Health Care Education/Training Program 1001 Potrero Street 6b, San Francisco, CA 94110 2017-07-19
1689152274 Christian Freeman Student in an Organized Health Care Education/Training Program 1001 Portrero Ave, 6d, Sfgh Ob Gyn, San Francisco, CA 94110 2018-08-06
1780107425 Allison Kimberley Tucker Orthopaedic Surgery 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 2017-07-25
1740835131 Jacob Matz Orthopaedic Surgery - Orthopaedic Trauma Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 2019-08-03
Find all in zip 94110

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952978397 Yvette Garcia Hernandez Counselor 700 Felton St, San Francisco, CA 94134-1465 2021-06-04
1710561576 Vanessa Stefanelli Counselor 1975 4th St Dept Of, San Francisco, CA 94143-2351 2021-05-07
1255912671 Geoffrey M Fletcher Counselor 111 Chestnut St Unit 705, San Francisco, CA 94111-1035 2021-04-16
1578142238 Lauren Nicole Chester Counselor 2200 Hayes St Fl 6, San Francisco, CA 94117-1013 2021-04-07
1215533799 Dominique Rosa Leslie Counselor 835 Hyde St, San Francisco, CA 94109-5927 2020-12-09
1972104628 Ann Egan Counselor 207 Cole St, San Francisco, CA 94117-1915 2020-11-07
1326654518 Mina Dailami Counselor 45 Adair St Apt A, San Francisco, CA 94103-3699 2020-09-22
1538773841 Samantha Santamaria Counselor 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 2020-09-03
1659980076 Claire Katherine Sheeran Counselor 1275 34th Ave, San Francisco, CA 94122-1306 2020-07-31
1104434331 Archana Chatkara Thomas · Archana Chatkara Counselor 974 Pine St Apt 9, San Francisco, CA 94108-2928 2020-07-14
Find all providers in SAN FRANCISCO

Competitor

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City SAN FRANCISCO
Zip Code 94110

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1164016465 Maxx Transit LLC Non-emergency Medical Transport (VAN) 24555 Southfield Rd Ste 110, Southfield, MI 48075-2738 2021-02-26
1952984072 Heather F Malloy Specialist/Technologist - Athletic Trainer 810 Lake Caroline Dr, Ruther Glen, VA 22546-5315 2021-05-05
1376114520 Rachel Paige Malloy Pharmacist 23885 Westwood Rd, Westlake, OH 44145-4827 2021-07-08
1275129678 David Joseph Malloy Homemaker 42 Arcadia Pl, Cincinnati, OH 45208-2802 2020-12-19
1407804800 Valerie June Malloy · Valerie June Vote Family Medicine Offutt Afb, Erhling Berquist Clinic, Belluvue, NE 68113 2006-05-05

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.