Loretta S. Malta, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016294 Issued in NY

Legal business name

LORETTA S. MALTA, PH.D.

Practice address

747 Madison Ave
Suite 102
Albany, NY 12208-3809

Phone

(518) 419-7716

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loretta S Malta, PH.D.

Title

Psychologist

Phone

(518) 419-7716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1811385073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031733",
            "telephone_number": "518-419-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083809",
            "telephone_number": "518-419-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTA S. MALTA, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "MALTA",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "518-419-7716",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.