Dr. William J. Mallot , PsyD
Psychologist - Clinical • Springfield, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Mallot has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. William Mallot, PsyD was a registered Psychologist - Clinical practicing in Springfield, MO. Throughout an active medical career spanning 18 years, Dr. Mallot provided care at the practice location at 1300 E BRADFORD PKWY until profile deactivation on 2024-10-16.
Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1300 E Bradford Pkwy
Springfield, MO 658044264
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Clinical in Springfield, MO
Practicing in Springfield, MO (963 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
90834
Psychotherapy, 45 minutes
|
130 | 15 | $138.77 | $100.58 |
|
90791
Psychiatric diagnostic evaluation
|
14 | 14 | $200.00 | $163.88 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TC0700X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Social Worker - Clinical
Master of Social Work, Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Master Social Worker
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Counselor - Professional
Master of Science, Licensed Professional Counselor
Counselor - Professional
Master of Science, Licensed Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 16, 2024
Registered at 140 WELDON PKWY, MARYLAND HEIGHTS, MO 630433102 (Tel: 3149485573)
Registered at 140 WELDON PKWY, MARYLAND HEIGHTS, MO 630433102 (Tel: 3149485576)
Recorded as WILLIAM MALLOT, LPC
Counselor (License #2003014203 in MO)
NPI status registered as active in NPPES database
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)
Recorded as WILLIAM MALLOT, PSYD
Psychologist (License #2006036652 in MO)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
1300 E Bradford Pkwy
Springfield, MO 658044264
Phone: 4177615000
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