Marshall David Maldaver, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301006412 Issued in MI

Practice address

6515 Highland Rd Ste 100
Waterford, MI 48327-1669

Phone

(248) 674-3382

NPI assigned

Oct 14, 2006

Last updated

Jul 16, 2025By the provider in NPPES

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Kaleidoscope Counseling Services

  • Psychologist
  • Waterford, MI
  • NPI 1952976425
  NPD Authorized official

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1649360066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 HIGHLAND RD STE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271669",
            "telephone_number": "248-674-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 HIGHLAND RD STE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271669",
            "telephone_number": "248-674-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDAVER",
        "first_name": "MARSHALL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OF33053",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "120497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyshia Magee, BS, MED
• Dorsha Nicole Magee, LLBSW
• Grace Karen Mailing, MS, BCBA, LBA
• Anthony Maina, LLMSW
• Jessica Sue Malaney, MA LPC
• Anthony G Malis, DDS
• Daniel Mallory
• Soumya Mamidi, PHYSICAL THERAPIST
• Ivory Mamo
• Julienne Manees

• Psychologist in Waterford, MI
• Providers in Waterford, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.

Verify at the official NPI Registry.