Max Malitzky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020793 Issued in NY

Practice address

145 W 96TH St
Apt. 1F
New York, NY 10025-6403

Phone

(646) 484-6031

NPI assigned

Jul 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Max Malitzky LLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1306334008
  NPD (past) Authorized official
• Uptown Downtown Psychology PLLC

  • Psychologist
  • New York, NY
  • NPI 1093488363
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1811339302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 96TH ST",
            "address_2": "APT. 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256403",
            "telephone_number": "646-484-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 96TH ST",
            "address_2": "APT. 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256403",
            "telephone_number": "646-484-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 W 96th St Apt 1E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256514",
            "country_code": "US",
            "telephone_number": "917-640-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALITZKY",
        "first_name": "MAX",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000897",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "461672082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sula Malina
• Malinda K Dunn Agency
• Grace Maline
• Hannah Malinosky, MD
• Kristen Teresa Maliszewski, M.S
• Lissette Maliza
• Joseph Malizia, PT,DPT
• Nicholas Scott Malizia, PA-C
• Courtney Malka
• Matan Malka, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.