NPIMap

Organization Active NPI

Malinoski Psychological Services, PSC

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1871826172
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
57000127A Issued in IN
Legal business name
MALINOSKI PSYCHOLOGICAL SERVICES, PSC
Practice address
3560 Five Points Rd
Indianapolis, IN 46239-9501
Phone
(317) 536-5482
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Peter Malinoski, PH.D.NPI 1679100333
Title
President
Phone
(317) 536-5482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 57000127A IN Primary

Addresses

Primary practice location

3560 Five Points Rd
Indianapolis, IN 46239-9501

Mailing address

3560 Five Points Rd
Indianapolis, IN 46239-9501

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1871826172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 FIVE POINTS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 FIVE POINTS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399501",
            "telephone_number": "317-536-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALINOSKI PSYCHOLOGICAL SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "MALINOSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-536-5482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "57000127A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

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

Verify at the official NPI Registry.