Active NPI
Anne Fiona Malave, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1891729851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 013992
- Practice address
- 119 W 57TH St Ste 720
New York, NY 10019-2302 - Phone
- (212) 787-1304
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 013992 | NY | Primary |
Addresses
Primary practice location
119 W 57TH St Ste 720
New York, NY 10019-2302
Mailing address
119 W 57TH St Ste 720
New York, NY 10019-2302
Phone (212) 787-1304
Other practice location 1
24 Main Street
Suite A
Millerton, NY 12546
Phone (518) 789-0016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 25, 2020 through Feb 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013992 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1891729851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 W 57TH ST STE 720",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192302",
"telephone_number": "212-787-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 57TH ST STE 720",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192302",
"telephone_number": "212-787-1304"
}
],
"practiceLocations": [
{
"address_1": "24 Main Street",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Millerton",
"state": "NY",
"postal_code": "12546",
"country_code": "US",
"telephone_number": "518-789-0016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALAVE",
"first_name": "ANNE",
"middle_name": "FIONA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "013992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.