Karen Mallimson, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

017006 Issued in NY

Practice address

19 W 34TH St PH
New York, NY 10001-3006

Phone

(212) 947-7111

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

United Cerebral Palsy Assoc of Nys IncGroup PAC ID 0749275584, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• United Cerebral Palsy Assoc of Nys Inc

  • Clinic/Center
  • Staten Island, NY
  • NPI 1376600551

  NY

  Medicare reassignment Care Compare group NPD
• United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Woodside, NY
  • NPI 1255496642
  NPD
• United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1285799684
  NPD
• United Cerebral Palsy Associations of New York State, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1366507758
  NPD
• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  NPD (past)
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  NPD (past)
• United States Memory Check Psychology Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1548205784
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295800225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 35TH ST APT 2J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164251",
            "telephone_number": "212-679-4825",
            "fax_number": "212-679-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST PH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-947-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIMSON",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Elise Raacke Malley
• Lori Ann Mallia, RRT
• Stephanie Susan Mallia, PA-C
• Neiladri Kumar Mallick, PT, DPT
• Sonal Mallick
• Usha Mallinath, M.D.
• Athanasios Mallios, MD
• Thomas Mallios, PSYD
• Seraphina Mallon-Breiman
• Hannah Abigail Mallon, BSN, RN

• All providers in New York, NY
• Psychologist in New York

• 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.

Verify at the official NPI Registry.