Active NPI
Kathleen Malon, APN-C
- Psychiatric/Mental Health Nurse Practitioner
- Newton, NJ
National Provider Identifier
1285672915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NC4592400
- Practice address
- 18 Church St
Suite 201
Newton, NJ 07860-1756 - Phone
- (973) 940-0116
- Fax
- (973) 940-0104
- NPI assigned
- Jun 3, 2006
- Last updated
- Apr 20, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NC4592400 | NJ | Primary |
Addresses
Primary practice location
18 Church St
Suite 201
Newton, NJ 07860-1756
Mailing address
PO Box 268
Hope, NJ 07844-0268
Phone (973) 940-0116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7227701 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NC4592400 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inhealth PA | Past | Accepting new patients | |
| Serenity Healthcare LLC | Past | Accepting new patients | |
| Vericare Behavioral Health of New Jersey, P.a. | Psychiatric/Mental Health | Past | Accepting new patients |
| Hollander Counseling & Consulting LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
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Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1285672915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268",
"city": "HOPE",
"state": "NJ",
"postal_code": "078440268",
"telephone_number": "973-940-0116",
"fax_number": "973-940-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CHURCH ST",
"address_2": "SUITE 201",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078601756",
"telephone_number": "973-940-0116",
"fax_number": "973-940-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALON",
"first_name": "KATHLEEN",
"credential": "APN-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NC4592400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7227701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.