Individual provider Active NPI

Allison Meredith Maloney, PH.D., LCSW-R

  • Psychologist
  • Garden City, NY
National Provider Identifier
1194097618
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019829-1 Issued in NY
Practice address
30 Lindbergh St
Garden City, NY 11530-6611
Phone
(516) 578-3575
NPI assigned
Jan 30, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R049053-1 NY
Psychologist 103T00000X 019829-1 NY Primary

Addresses

Primary practice location

30 Lindbergh St
Garden City, NY 11530-6611

Mailing address

30 Lindbergh St
Garden City, NY 11530-6611
Phone (516) 578-3575

Other names 1

  • Allison Meredith Berger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
019829-1NYMDPsychologist
R049053-1NYMDClinical Social Worker
049053NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1194097618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LINDBERGH ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306611",
            "telephone_number": "516-578-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LINDBERGH ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306611",
            "telephone_number": "516-578-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "ALLISON",
        "middle_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049053-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019829-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "BERGER",
            "middle_name": "MEREDITH",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.