Kathleen Mallen-Ozimkowski, PSY.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

023310-01 Issued in NY

Practice address

8 Goldenrod Ave
Northport, NY 11768-1909

Phone

(516) 885-3226

Fax

(631) 754-3405

NPI assigned

May 13, 2021

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Electronic endpoints 1

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1912571167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GOLDENROD AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681909",
            "telephone_number": "516-885-3226",
            "fax_number": "631-754-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GOLDENROD AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681909",
            "telephone_number": "516-885-3226",
            "fax_number": "631-754-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEN-OZIMKOWSKI",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "023310-01",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "023310-01",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "023310-01",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "023310-01",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023310-01",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "023310-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "doxyme.com",
            "affiliation": "N",
            "address_1": "8 Goldenrod Ave",
            "city": "Northport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117681909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darlene Magito McLaughlin, PH.D.
• Joseph Lawrence Magliulo
• Donald Magnusson
• Sabahat Mahmood, MD
• Anthony Maida
• George Isaac Mallis, M.D.
• John J Malone, L.C.S.W., C.A.S.A.C.
• Leena Mangalath, LMSW
• Concetta Marie Manisero, NP
• Stephanie Mansfield

• Cognitive & Behavioral Psychologist in Northport, NY
• Providers in Northport, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.