IndividualActive
Mallory Waayenberg
NPI 1174402309 · Psychologist · Kalamazoo, MI
Mallory Waayenberg is a Psychologist provider in Kalamazoo, MI (NPI 1174402309).
Provider details
- NPI number
- 1174402309
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6451023888 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5708 Venture Ct Ste B
Kalamazoo, MI 49009-2858
Phone: (269) 459-1818
Street-level locationGet directions
Mailing address
5708 Venture Ct Ste B
Kalamazoo, MI 49009-2858
Registry dates
- Enumerated
- 2025-09-01
- Last updated
- 2025-09-01
- Certified
- 2025-09-01
Frequently asked questions
- What is Mallory Waayenberg's NPI number?
- Mallory Waayenberg's National Provider Identifier (NPI) is 1174402309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Waayenberg's specialty?
- Mallory Waayenberg is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mallory Waayenberg located?
- Mallory Waayenberg's practice location on file with NPPES is 5708 Venture Ct Ste B, Kalamazoo, MI 49009-2858.
- What is Mallory Waayenberg's phone number?
- The practice phone number listed in the NPPES registry for Mallory Waayenberg is (269) 459-1818.
- Is Mallory Waayenberg's NPI active?
- Yes — Mallory Waayenberg's NPI (1174402309) is active in the NPPES registry as of the last update on 2025-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.