Individual provider Active NPI

Randolph Malsky, PHD

  • Psychologist
  • Lindenhurst, NY
National Provider Identifier
1477952513
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7802 Issued in NY
Practice address
150 Sunrise Hwy
Suite 105
Lindenhurst, NY 11757-2598
Phone
(631) 956-7337
NPI assigned
Aug 14, 2014
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7802 NY Primary

Addresses

Primary practice location

150 Sunrise Hwy
Suite 105
Lindenhurst, NY 11757-2598

Mailing address

150 Sunrise Hwy
Suite 105
Lindenhurst, NY 11757-2598
Phone (631) 956-7337

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7802NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Urgent Care Past Accepting new patients

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1477952513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SUNRISE HWY",
            "address_2": "SUITE 105",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-956-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SUNRISE HWY",
            "address_2": "SUITE 105",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-956-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSKY",
        "first_name": "RANDOLPH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.