MAURA K MALLOY PSYD PA (NPI# 1023162245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023162245 |
| Entity Type | Organization |
| Organization Name | MAURA K MALLOY PSYD PA |
| Practice Address |
1375 Gateway Blvd # 57 Boynton Beach FL 33426-8304 |
| Practice Telephone | 5615333903 |
| Practice Fax Number | 5612445149 |
| Mailing Telephone | 5615333903 |
| Mailing Fax Number | 5612445149 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | MAURA KAYE MALLOY (PRESIDENT & OWNER) |
| Authorized Official Telephone | 5615333903 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY0004985 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS DR. MALLOY # | 59491 | 01 |
| Street Address |
1375 GATEWAY BLVD # 57 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659842151 | Peri Michelle Blum | Psychologist | 9751 Sun Pointe Dr, Boynton Beach, FL 33437-3333 | 2018-12-09 |
| 1295161487 | Ashkin Counseling | Psychologist | 8850 Cicero Dr, Boynton Beach, FL 33472-2436 | 2013-09-19 |
| 1700197878 | Laurence Ralph Simon | Psychologist | 7411 Twin Falls Dr, Boynton Beach, FL 33437-3937 | 2010-06-23 |
| 1689996662 | Joseph F Logiudice | Psychologist | 5761 Emerald Cay Ter, Boynton Beach, FL 33437-4218 | 2010-02-18 |
| 1558427138 | Nancy Marie Michuda | Psychologist | 1260 Sw 27th Ave, Boynton Beach, FL 33426-7826 | 2006-12-28 |
| 1588773501 | Stephanie L Weiss | Psychologist | 1375 Gateway Blvd, Boynton Beach, FL 33426 | 2006-08-30 |
| 1245607589 | Life Md | Psychologist | 1901 S Congress Ave, Suite 150, Boynton Beach, FL 33426-6556 | 2015-08-21 |
| 1376931519 | Neurorecovery Inc | Psychologist | 1101 N Congress Ave Ste 208, Boynton Beach, FL 33426-3336 | 2014-12-22 |
| 1538595822 | Linda Wechter-ashkin | Psychologist | 1375 Gateway Blvd, Ste 57, Boynton Beach, FL 33426-8304 | 2013-09-19 |
| 1205180031 | Aubrey K. Ewing, Ph.d. & Associates, P.a. | Psychologist | 1230 S Federal Hwy, Boynton Beach, FL 33435-6000 | 2012-10-31 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.