Active NPI
Craig E Malkin, PH.D.
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1437216918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7886
- Practice address
- 1218 Massachusetts Ave
First Floor
Cambridge, MA 02138-3835 - Phone
- (617) 491-1660
- Fax
- (617) 491-1661
- NPI assigned
- Jan 3, 2007
- Last updated
- Mar 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7886 | MA | Primary |
Addresses
Primary practice location
1218 Massachusetts Ave
First Floor
Cambridge, MA 02138-3835
Mailing address
150 Radcliffe Rd
Belmont, MA 02478-2650
Phone (617) 359-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 Radcliffe Rd
Belmont, MA 02478-2650
Phone (617) 491-1660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1437216918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 RADCLIFFE RD",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782650",
"telephone_number": "617-359-9850",
"fax_number": "617-395-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 MASSACHUSETTS AVE",
"address_2": "FIRST FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383835",
"telephone_number": "617-491-1660",
"fax_number": "617-491-1661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKIN",
"first_name": "CRAIG",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.