Peter Malinoski, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041738A Issued in IN

Practice address

3560 Five Points Rd
Indianapolis, IN 46239-9501

Phone

(317) 536-5482

NPI assigned

Mar 24, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Malinoski Psychological Services, PSC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1871826172
  NPD (past) Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1679100333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 FIVE POINTS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399501",
            "telephone_number": "317-536-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 FIVE POINTS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399501",
            "telephone_number": "317-536-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOSKI",
        "first_name": "PETER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041738A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Malin, M.D.
• Molly Malina, NP
• Krishna C Malineni, M.D.
• Smitha Chowdary Malineni, DDS
• Malinoski Psychological Services, PSC
• Rada Malko
• Jane Ann Malkoff
• Fred S Malkowski, DDS
• Sara Mallams, MS OTR/L
• Michael Mallari

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.