Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

George Mallinckrodt

Individual provider Mental Health Counselor · NPI 1801350400

George Mallinckrodt is a Mental Health Counselor in Hollywood, Florida. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

901 S 62nd Ave
Hollywood, FL 33023-1848
Phone: (561) 790-1191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH6922 (FL)

Record details

NPI number1801350400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2019
Last updated in NPPESJanuary 28, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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