Individual provider Active NPI

Leanne Foli Malloy, PH.D., HSPP

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1891747440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040634 Issued in IN
Practice address
3200 Cold Spring Rd
Indianapolis, IN 46222-1960
Phone
(317) 955-6150
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20040634 IN Primary

Addresses

Primary practice location

3200 Cold Spring Rd
Indianapolis, IN 46222-1960

Mailing address

6792 Black Oak West CT
Avon, IN 46123-8014
Phone (317) 272-1032

Other identifiers 2

IdentifierTypeStateIssuer
100252690MedicaidIN
11348711OtherINCAQH USER NAME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health, Inc Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
Medical Psychology Associates, PC Psychologist Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Psychologist PastSince Mar 1, 2010 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Past Accepting new patients
Cummins Behavioral Health Systems, Incorporated Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891747440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6792 BLACK OAK WEST CT",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238014",
            "telephone_number": "317-272-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COLD SPRING RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221960",
            "telephone_number": "317-955-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "LEANNE",
        "middle_name": "FOLI",
        "name_prefix": "Dr.",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252690",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH USER NAME",
            "identifier": "11348711",
            "state": "IN"
        }
    ],
    "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 Jul 8, 2007; 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.