Active NPI
Daniel Patrick Malley, M.A., TLLP
- Psychologist
- Troy, MI
National Provider Identifier
1376813444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301014862
- Practice address
- 1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545 - Phone
- (248) 918-5600
- NPI assigned
- Jan 6, 2012
- Sex
- Male
- 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 | 6301014862 | MI | Primary |
Addresses
Primary practice location
1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545
Mailing address
1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545
Phone (248) 918-5600
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014862 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1376813444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W BIG BEAVER RD",
"address_2": "SUITE 150",
"city": "TROY",
"state": "MI",
"postal_code": "480843545",
"telephone_number": "248-918-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W BIG BEAVER RD",
"address_2": "SUITE 150",
"city": "TROY",
"state": "MI",
"postal_code": "480843545",
"telephone_number": "248-918-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLEY",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"credential": "M.A., TLLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301014862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.