Active NPI
Timothy D. Malone MD
- Specialist
- Columbia, SC
National Provider Identifier
1700075736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17355
- Legal business name
- TIMOTHY D. MALONE MD
- Practice address
- 1415 Blanding St
Ste 4
Columbia, SC 29201-2922 - Phone
- (803) 779-7500
- Fax
- (803) 779-7522
- NPI assigned
- Oct 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy D. Malone, MD
- Title
- Psychiatrist
- Phone
- (803) 779-7500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17355 | SC | Primary |
Addresses
Primary practice location
1415 Blanding St
Ste 4
Columbia, SC 29201-2922
Mailing address
1415 Blanding St
Ste 4
Columbia, SC 29201-2922
Phone (803) 779-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173555 | Medicaid | SC | |
| 582296052 | Other | SC | PBMC BEHAVIORAL HEALTH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341187200000",
"number": "1700075736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 BLANDING ST",
"address_2": "STE 4",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012922",
"telephone_number": "803-779-7500",
"fax_number": "803-779-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BLANDING ST",
"address_2": "STE 4",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012922",
"telephone_number": "803-779-7500",
"fax_number": "803-779-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY D. MALONE MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-16",
"last_updated": "2012-07-02",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "803-779-7500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "SC",
"license": "17355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173555",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PBMC BEHAVIORAL HEALTH",
"identifier": "582296052",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.