Theodora Malinowski, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS020453 Issued in PA

Practice address

281 Valley Stream LN
Chesterbrook, PA 19087-5852

Phone

(719) 396-4167

NPI assigned

Apr 10, 2025

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intentional Counseling & Wellness, LLC

  dba Intentional Counseling & Wellness

  • Mental Health Counselor
  • Bethlehem, PA
  • NPI 1932928702

  Clinical

  Medicare reassignment NPD
• Theodora Malinowski, PSYD, PLLC

  • Clinical Psychologist
  • Chesterbrook, PA
  • NPI 1881534709
  NPD Authorized official

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1114712122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 VALLEY STREAM LN",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875852",
            "telephone_number": "719-396-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 VALLEY STREAM LN",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875852",
            "telephone_number": "719-396-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKI",
        "first_name": "THEODORA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS020453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Doris Lebischak, M.D.
• Seung Gon Lee
• Diane Lorraine Lemons, LPC
• Main Line Home Therapy, LLC
• Main Line Inntegrative and Functional Medicine
• Nicole Marchetto, MD, MPH
• Jennifer Maszarose
• Stacy Lee McAllister, M.D.
• Erin McCarthy, LPC
• Emma A Mellon, PH.D.

• Clinical Psychologist in Chesterbrook, PA
• Providers in Chesterbrook, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.