Active NPI
Tena L. Malone, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1942461777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 28214
- Practice address
- 600 S Curson Ave Apt 306
Los Angeles, CA 90036 - Phone
- (310) 739-6004
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1078 | LA | |
| Clinical Psychologist | 103TC0700X | 28214 | CA | Primary |
Addresses
Primary practice location
600 S Curson Ave Apt 306
Los Angeles, CA 90036
Mailing address
5003 Winthrop St Apt 302
Oxon Hill, MD 20745-2004
Phone (301) 412-2727
Other practice location 1
600 S Curson Ave Apt 306
Los Angeles, CA 90036
Phone (310) 739-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190612002255 | CA | Practitioner - Clinical Psychologist | 7416025960 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078 | LA | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1942461777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5003 WINTHROP ST APT 302",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207452004",
"telephone_number": "301-412-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S CURSON AVE APT 306",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90036",
"telephone_number": "310-739-6004"
}
],
"practiceLocations": [
{
"address_1": "600 S Curson Ave Apt 306",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90036",
"country_code": "US",
"telephone_number": "310-739-6004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "TENA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "1078",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "28214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.