Individual provider Active NPI

Loretta Silvana Malta, PHD

  • Psychologist
  • Albany, NY
National Provider Identifier
1366429292
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016294 Issued in NY
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

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.