Marc R Malone, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3000 Issued in OR

Practice address

1245 Edgewater St NW
Salem, OR 97304-4049

Phone

(503) 378-7526

Fax

(503) 588-5803

NPI assigned

Nov 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Human Services IncGroup PAC ID 7012825797, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Northwest Human Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1497014914
  Care Compare group NPD
• Northwest Human Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1871530758
  Care Compare group NPD
• Northwest Human Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1194082867
  Care Compare group NPD (past)
• Northwest Human Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Monmouth, OR
  • NPI 1447332994
  Care Compare group
• Northwest Human Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salem, OR
  • NPI 1790865798
  Care Compare group

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1992273718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526",
            "fax_number": "503-588-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 EDGEWATER ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526",
            "fax_number": "503-588-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MARC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayij Makkattil, MDS, MDS
• Angela Lynn Maldonado, NP
• Meredith Malinn, DPT
• Arvin Junn Pastoral Mallari, MD
• Kristina Malmberg, MS, SLP-CCC
• Danielle Maloney, BCBA
• Managed Dental Care of Oregon, Inc.
• Daniella Catabay Manarang, PA-C
• Mangata Wellness, Inc
• Stephanie C Mangual Leon, NP

• All providers in Salem, OR
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.