Myra Malmed Nathan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10227-1 Issued in NY

Practice address

950 New Loudon Rd
Suite 245
Latham, NY 12110-2100

Phone

(518) 785-7360

Fax

(518) 785-7360

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Comprehensive Neuropsychological Services, PLLC

  • Clinical Neuropsychologist
  • Albany, NY
  • NPI 1518184712
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1629125455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NEW LOUDON RD",
            "address_2": "SUITE 245",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102100",
            "telephone_number": "518-785-7360",
            "fax_number": "518-785-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NEW LOUDON RD",
            "address_2": "SUITE 245",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102100",
            "telephone_number": "518-785-7360",
            "fax_number": "518-785-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "MYRA",
        "middle_name": "MALMED",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "10227-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "137498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nitalia Naeem
• Ketaki Nagarkar
• Swetha P Nair, LMHC
• Natalia Veselova, MD
• Natalie Lopasic, M.D., PLLC
• Lauren Gene Navratil, MHC
• NC Medical of Ny PC
• Jose F Nebres, M.D.
• Henry M. Neilley, M.D.
• Kelcey Nellis, PA-C

• Psychologist in Latham, NY
• Providers in Latham, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.