Individual provider Active NPI

Sara Rosa Malagold, PH.D.

  • Clinical Psychologist
  • Hollywood, FL
National Provider Identifier
1407030216
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7360 Issued in FL
Practice address
6100 Hollywood Blvd
Suite 201
Hollywood, FL 33024-7900
Phone
(954) 962-8052
Fax
(954) 966-4774
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7360 FL Primary

Addresses

Primary practice location

6100 Hollywood Blvd
Suite 201
Hollywood, FL 33024-7900

Mailing address

3215 NE 184TH St
Apt. 14203
Aventura, FL 33160-4994
Phone (305) 725-2575

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150421000480 NY Practitioner - Clinical Psychologist 6204980816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Neuropsychology PCGroup PAC ID 3870869076, 2 clinicians

Practice addresses (Care Compare)

100 Merrick Rd
Suite 106E
Rockville Centre, NY 11570-4801
Phone (516) 696-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7360FLMDClinical Psychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1407030216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NE 184TH ST",
            "address_2": "APT. 14203",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604994",
            "telephone_number": "305-725-2575",
            "fax_number": "954-748-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "address_2": "SUITE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247900",
            "telephone_number": "954-962-8052",
            "fax_number": "954-966-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAGOLD",
        "first_name": "SARA",
        "middle_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "7360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.