Maura K Malloy PSYD PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0004985 Issued in FL

Legal business name

MAURA K MALLOY PSYD PA

Practice address

1375 Gateway Blvd # 57
Boynton Beach, FL 33426-8304

Phone

(561) 533-3903

Fax

(561) 244-5149

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maura Kaye Malloy, PSY.D.

Title

President & Owner

Phone

(561) 533-3903

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1023162245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD # 57",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "561-533-3903",
            "fax_number": "561-244-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD # 57",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "561-533-3903",
            "fax_number": "561-244-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURA K MALLOY PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "561-533-3903",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DR. MALLOY #",
            "identifier": "59491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.