Mallory Dimler, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9958 Issued in MA

Practice address

115 Mill St.
McLean Hospital
Belmont, MA 02478

Phone

(617) 855-3618

NPI assigned

Aug 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dr Mallory Dimler PA

  • Clinical Psychologist
  • Madison, NJ
  • NPI 1841058252
  NPD Authorized official

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1942559307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "address_2": "MCLEAN HOSPITAL",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST.",
            "address_2": "MCLEAN HOSPITAL",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-855-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMLER",
        "first_name": "MALLORY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026265E",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Diab
• Alexandra Dick, PH.D.
• Amy Dierberger, PH.D.
• Dill and Associates, Incorporated
• Diana L. Dill, ED.D.
• Mary Ann Diroberts, LICSW
• Kristopher Dobie, RN-BC, CNL
• Edward M. Doherty, A.T.,C
• Christie Dolan, LMHC
• Chad Joseph Donahue, MD, PHD

• Clinical Psychologist in Belmont, MA
• Providers in Belmont, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.