Joseph C. Mallet, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY0006306 Issued in FL

Practice address

1390 S Dixie Hwy
Suite 1307
Coral Gables, FL 33146-2927

Phone

(305) 665-3512

Fax

(305) 663-3331

NPI assigned

Apr 16, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1902070477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY",
            "address_2": "SUITE 1307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462927",
            "telephone_number": "305-665-3512",
            "fax_number": "305-663-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY",
            "address_2": "SUITE 1307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462927",
            "telephone_number": "305-665-3512",
            "fax_number": "305-663-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLET",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0006306",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY0006306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majorca Drug Store Inc
• Veronica C Maldonado Rada
• Janely Maldonado, RBT
• Anushree Malhotra-Hans, MD
• Michael Malis
• Isabella Malo
• Mamalactea Corp
• Managed Care Insurance Consultants, Inc
• Managed Care Med Solutions, Inc
• Laura Veronica Mandelbaum, LCSW

• Clinical Child & Adolescent Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.