Active NPI
Tara Maloney, LMHC
- Mental Health Counselor
- New Rochelle, NY
National Provider Identifier
1760850804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006010-1
- Practice address
- 2222 Palmer Ave Apt 1P
New Rochelle, NY 10801-3037 - Phone
- (914) 648-7171
- NPI assigned
- Sep 7, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006010-1 | NY | Primary |
Addresses
Primary practice location
2222 Palmer Ave Apt 1P
New Rochelle, NY 10801-3037
Mailing address
2222 Palmer Ave Apt 1P
New Rochelle, NY 10801-3037
Phone (914) 648-7171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 5, 2024 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006010 | NY | MD | Physical Therapist |
| 006010-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1760850804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 PALMER AVE APT 1P",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108013037",
"telephone_number": "914-648-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 PALMER AVE APT 1P",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108013037",
"telephone_number": "914-648-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "TARA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-07",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006010-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.