Organization Active NPI

Max Malitzky LLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1306334008
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020793 Issued in NY
Legal business name
MAX MALITZKY LLC
Practice address
7 W 96TH St Apt 1F
New York, NY 10025-6514
Phone
(917) 640-5822
Fax
(646) 363-6834
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Dr. Max Malitzky, PSYDNPI 1811339302
Title
Owner
Phone
(917) 640-5822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 020793 NY Primary

Addresses

Primary practice location

7 W 96TH St Apt 1F
New York, NY 10025-6514

Mailing address

7 W 96TH St Apt 1F
New York, NY 10025-6514
Phone (917) 640-5822

National Provider Directory

National Provider Directory

Locations

7 W 96th St
Apt 1F
New York, NY 10025
Phone (212) 721-7010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1306334008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 96TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256514",
            "telephone_number": "917-640-5822",
            "fax_number": "646-363-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 96TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256514",
            "telephone_number": "917-640-5822",
            "fax_number": "646-363-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX MALITZKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "MALITZKY",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-640-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.