Individual provider Active NPI

Joanne Malkani, PH.D.

  • Psychologist
  • Latham, NY
National Provider Identifier
1184010035
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
68021117 Issued in NY
Practice address
20 Century Hill Dr
Suite #202
Latham, NY 12110-2116
Phone
(518) 785-7283
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 68021117 NY Primary

Addresses

Primary practice location

20 Century Hill Dr
Suite #202
Latham, NY 12110-2116

Mailing address

20 Century Hill Dr
Suite #202
Latham, NY 12110-2116
Phone (518) 785-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610002704 NY Practitioner - Clinical Psychologist 9335472109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital District Behavioral Health Psychologists PLLCGroup PAC ID 6002914660, 5 clinicians

Practice addresses (Care Compare)

20 Century Hill Dr
Suite 202
Latham, NY 12110-2198
Phone (518) 785-7283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
68021117NYMDPsychologist
021117NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital District Behavioral Health Psychologists, PLLC CurrentSince May 20, 2015 Accepting new patients

Locations

20 Century Hill Dr
Ste 202
Latham, NY 12110
Phone (518) 577-8822

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1184010035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CENTURY HILL DR",
            "address_2": "SUITE #202",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102116",
            "telephone_number": "518-785-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTURY HILL DR",
            "address_2": "SUITE #202",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102116",
            "telephone_number": "518-785-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKANI",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68021117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.