Active NPI
Kristin Wieneke Malatino, PH.D.
- Psychologist
- Orlando, FL
National Provider Identifier
1992994263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9168
- Practice address
- 8976 Conroy Windermere Rd
Orlando, FL 32835-3128 - Phone
- (407) 605-5035
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PY9168 | FL | Primary |
| Psychologist | 103T00000X | 9669 | MA |
Addresses
Primary practice location
8976 Conroy Windermere Rd
Orlando, FL 32835-3128
Mailing address
8976 Conroy Windermere Rd
Orlando, FL 32835-3128
Phone (407) 605-5035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9168 | FL | MD | Psychologist |
| 9669 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1992994263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8976 CONROY WINDERMERE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353128",
"telephone_number": "407-605-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8976 CONROY WINDERMERE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353128",
"telephone_number": "407-605-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALATINO",
"first_name": "KRISTIN",
"middle_name": "WIENEKE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY9168",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9669",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.