Active NPI
Gloria M Malone, PHD
- Psychologist
- Scottsdale, AZ
National Provider Identifier
1750496550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1082
- Practice address
- 12471 N 76TH St
Scottsdale, AZ 85260-4815 - Phone
- (480) 650-2509
- Fax
- (480) 609-9350
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1082 | AZ | Primary |
Addresses
Primary practice location
12471 N 76TH St
Scottsdale, AZ 85260-4815
Mailing address
PO Box 13385
Scottsdale, AZ 85267-3385
Phone (480) 609-9300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1082 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1750496550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13385",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852673385",
"telephone_number": "480-609-9300",
"fax_number": "480-609-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12471 N 76TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852604815",
"telephone_number": "480-650-2509",
"fax_number": "480-609-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "GLORIA",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.