Susan A Maloney

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6301010320 Issued in MI

Practice address

100 N Pond Dr Ste a
Walled Lake, MI 48390-3079

Phone

(248) 207-7513

NPI assigned

Oct 4, 2006

Sex

Female

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)

Enrolled

Credentials

Doctor of Philosophy

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.

• Susan a Maloney

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walled Lake, MI
  • NPI 1447171939
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1790871259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 LAGUNA DR",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483902016",
            "telephone_number": "248-207-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N POND DR STE A",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903079",
            "telephone_number": "248-207-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "SUSAN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301010320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Lonnerstater
• Kristine Marie Ludy
• Ghadeer Makki
• Marie Helene Malec
• David Maloney
• Elizabeth Ann Manela, SLP CCC
• Marco a Tauil DDS, PC
• Beth Maroko, RPH.
• Elizabeth Kathryn Martin, NP
• Lisa Ann Martin

• Clinical Child & Adolescent Psychologist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.