Kimberly A Mallett, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY0005196 Issued in CO

Practice address

807 Arapahoe St
Golden, CO 80401-1032

Phone

(720) 815-5400

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1043850118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 8TH ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011005",
            "telephone_number": "814-441-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 ARAPAHOE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011032",
            "telephone_number": "720-815-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY0005196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapyappointment.com",
            "affiliation": "N",
            "address_1": "958 8th St",
            "city": "Golden",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804011005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abigail Jean Magwire
• Julie Maiers, P.T.
• Kerry Maiorca
• Alea L Makley, LPC
• Asifa Mahboob Malik, M.D.
• Jennifer Manera
• Michael Manion, MD
• Ulrike Mann-Drewes, LCCE, CD(DONA)
• Map Your Care Illness and Grief Counseling LLC
• Isabel Marbaker, PT, DPT

• Clinical Psychologist in Golden, CO
• Providers in Golden, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.