DR. THOMAS MALLIOS (NPI# 1295860682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295860682 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MALLIOS |
| Credential | PSYD |
| Practice Address |
416 E 76th St 4th Floor New York NY 10021-3104 |
| Practice Telephone | 2124345393 |
| Mailing Telephone | 2124345393 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
013773 | NY | Behavioral Health & Social Service Providers |
| Street Address |
416 E 76TH ST 4TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396782637 | East Side Medical and Diagnostics Services, PC | Psychiatry & Neurology | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2006-06-02 |
| 1366776742 | Boris Goralnik | Internal Medicine | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2009-10-01 |
| 1528217379 | Florence Tam | Psychologist | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2008-09-17 |
| 1164681839 | Kathryn Lauren Liebenberg | Psychologist | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2008-06-06 |
| 1114194487 | Arthur Michael Perlman | Psychiatry & Neurology | 416 E 76th St, New York, NY 10021-3104 | 2008-05-14 |
| 1346380425 | Mitchell Flaum | Psychologist | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2007-02-07 |
| 1861599482 | Arthur M. Perlman, M.d., P.C. | Psychiatry & Neurology | 416 E 76th St, New York, NY 10021-3104 | 2006-09-17 |
| 1891711172 | James Herivaux | Psychiatry & Neurology | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2006-07-13 |
| 1043256894 | Gary S Friedman | Podiatrist | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2006-06-21 |
| 1659317238 | James Francis Gettler | Internal Medicine | 416 E 76th St, 4th Floor, New York, NY 10021-3104 | 2006-06-21 |
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| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
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| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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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.