Susan Margaret Maloney, MOT, PH.D.

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

2011027107 Issued in MO

Practice address

1010 Edgeworth Ave
Kirkwood, MO 63122-2435

Phone

(314) 402-1634

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1649525924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EDGEWORTH AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222435",
            "telephone_number": "314-402-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EDGEWORTH AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222435",
            "telephone_number": "314-402-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MOT, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2011027107",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MO",
            "license": "2011027107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nathan Andrew Mall, M.D.
• Emily Marie Mancuso, PLPC, ATR-P
• Jane Frances Manhart, H.I.S.
• Kirstin Manion
• Manor Grove, Inc.
• Stacy Elizabeth Mansker, MA, LPC

• Mental Health Occupational Therapist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Mental Health Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.