Active NPI
Marilyn Malkin, PHD
- Psychologist
- Cleveland Heights, OH
National Provider Identifier
1245315670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3385
- Practice address
- 2460 Fairmount Blvd
Suite 320
Cleveland Heights, OH 44106-3164 - Phone
- (440) 779-6773
- Fax
- (216) 231-7235
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3385 | OH | Primary |
Addresses
Primary practice location
2460 Fairmount Blvd
Suite 320
Cleveland Heights, OH 44106-3164
Mailing address
2460 Fairmount Blvd
Suite 320
Cleveland Heights, OH 44106-3164
Phone (440) 779-6773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81364 | Other | OH | QUALCHOICE |
| 000000146423 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090722000476 | OH | Practitioner - Clinical Psychologist | 8628120698 | Practice locations: Cleveland HTS, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2460 Fairmount Blvd
Cleveland Heights, OH 44106-3164
Phone (440) 779-6773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3385 | OH | MD | Psychologist |
Interoperability endpoints
- mmalkin243125@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245315670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 FAIRMOUNT BLVD",
"address_2": "SUITE 320",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441063164",
"telephone_number": "440-779-6773",
"fax_number": "216-231-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 FAIRMOUNT BLVD",
"address_2": "SUITE 320",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441063164",
"telephone_number": "440-779-6773",
"fax_number": "216-231-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKIN",
"first_name": "MARILYN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "81364",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000146423",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.