Madalyn Tinia Caldwell, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4115 Issued in AL

Practice address

4110 Wall St Ste C
Montgomery, AL 36106-2925

Phone

(334) 544-1301

NPI assigned

Aug 14, 2018

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

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  • NPI 1902649692
  NPD Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1609356294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 KERRI CIR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092313",
            "telephone_number": "334-220-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WALL ST STE C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062925",
            "telephone_number": "334-544-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "MADALYN",
        "middle_name": "TINIA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cahaba Child Development, LLC
• Amanda Brooke Caldwell, PHARMD
• Antiquenette Caldwell, M.S.
• Clarissa Caldwell
• Demetria T Caldwell, PMHNP-BC
• Brittney Little Calhoun, SLP
• Stephanie Calhoun, LPC
• Lisa S Callaway, PT, DPT
• Tatiyana La'Shaun Callaway
• Darryl Lamar Calloway

• Professional Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.