Active NPI
Molly Bridget Malone
- Clinical Psychologist
- Vacaville, CA
National Provider Identifier
1225385164
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Oct 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY26735
- Practice address
- 1600 California Drive
Vacaville, CA 95696 - Phone
- (707) 448-6841
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY26735 | CA | Primary |
Addresses
Primary practice location
1600 California Drive
Vacaville, CA 95696
Mailing address
PO Box 2297
Vacaville, CA 95696-8297
Phone (707) 448-6841
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26735 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1225385164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2297",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956968297",
"telephone_number": "707-448-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CALIFORNIA DRIVE",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "95696",
"telephone_number": "707-448-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "MOLLY",
"middle_name": "BRIDGET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY26735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.