Active NPI
Loretta Silvana Malta, PHD
- Psychologist
- Albany, NY
National Provider Identifier
1366429292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016294
- Practice address
- Albany VA Medical Center
113 Holland Ave, Mail Code 113a
Albany, NY 12208 - Phone
- (518) 626-5360
- Fax
- (518) 626-5407
- NPI assigned
- Dec 30, 2005
- 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 | 016294 | NY | Primary |
Addresses
Primary practice location
Albany VA Medical Center
113 Holland Ave, Mail Code 113a
Albany, NY 12208
Mailing address
Albany VA Medical Center
113 Holland Ave, Mail Code 113a
Albany, NY 12208
Phone (518) 626-5360
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1366429292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALBANY VA MEDICAL CENTER",
"address_2": "113 HOLLAND AVE, MAIL CODE 113A",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-626-5360",
"fax_number": "518-626-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALBANY VA MEDICAL CENTER",
"address_2": "113 HOLLAND AVE, MAIL CODE 113A",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-626-5360",
"fax_number": "518-626-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTA",
"first_name": "LORETTA",
"middle_name": "SILVANA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.