Individual provider Active NPI

John J. Maloney, PH.D.

  • Counseling Psychologist
  • Springfield, MO
National Provider Identifier
1740258524
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY01215 Issued in MO
Practice address
1358 E Kingsley St Ste B
Springfield, MO 65804-7222
Phone
(417) 881-1580
Fax
(417) 881-7004
NPI assigned
Mar 9, 2006
Last updated
Sep 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY01215 MO Primary

Addresses

Primary practice location

1358 E Kingsley St Ste B
Springfield, MO 65804-7222

Mailing address

1358 E Kingsley St Ste B
Springfield, MO 65804-7222
Phone (417) 887-4245

Other identifiers 1

IdentifierTypeStateIssuer
499454205MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1215MOMDAddiction (Substance Use Disorder) Counselor
PY01215MOMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Murrell Counseling Service Past Accepting new patients
Paul W. Iles Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1740258524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 E KINGSLEY ST STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047222",
            "telephone_number": "417-887-4245",
            "fax_number": "417-881-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 E KINGSLEY ST STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047222",
            "telephone_number": "417-881-1580",
            "fax_number": "417-881-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "PY01215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499454205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.