Active NPI
Judith A. Malone, PH.D.
- Clinical Psychologist
- Brecksville, OH
National Provider Identifier
1497804629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5338
- Practice address
- 8223 Brecksville Rd
Brecksville, OH 44141-1371 - Phone
- (440) 526-4426
- Fax
- (440) 526-7961
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- 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 | 5338 | OH | Primary |
Addresses
Primary practice location
8223 Brecksville Rd
Brecksville, OH 44141-1371
Mailing address
17123 Fernway Rd
Shaker Heights, OH 44120-3323
Phone (216) 295-8420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 3, 2024 through Jun 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5338 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497804629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17123 FERNWAY RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441203323",
"telephone_number": "216-295-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8223 BRECKSVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441411371",
"telephone_number": "440-526-4426",
"fax_number": "440-526-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "JUDITH",
"middle_name": "A.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.