DR. MALINDA RENEE KIDD (NPI# 1497091102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497091102 |
| Entity Type | Individual |
| Full Name | DR. MALINDA RENEE KIDD |
| Credential | PSY.D. |
| Practice Address |
9412 Fox Run Dr Clinton MD 20735-3049 |
| Practice Telephone | 3012756737 |
| Mailing Telephone | 3012756737 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05186 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 061225100 | 05 |
| Street Address |
9412 FOX RUN DR |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1184149676 | Achieving Mental Victory, LLC | Psychologist | 8110 Holly Ln, Clinton, MD 20735-3195 | 2017-08-07 |
| 1821462557 | Insideout Psychological Services, LLC | Psychologist | 2811 Pumpkin St, Clinton, MD 20735-1063 | 2015-11-18 |
| 1912378266 | Safe Harbor Christian Counseling | Psychologist | 8040 Woodyard Rd, Clinton, MD 20735-1963 | 2015-10-13 |
| 1194129494 | Total You Integrative Medicine Center | Psychologist | 12103 Windbrook Dr, Clinton, MD 20735-1149 | 2014-10-15 |
| 1023176633 | Psychological Consultants Pa | Psychologist | 135 Cambridge Cove, Clinton, MS 39056-9655 | 2006-12-05 |
| 1295823912 | David R. Mullen | Psychologist | 606 Northeast Blvd, Clinton, NC 28328-2023 | 2006-10-10 |
| 1386746865 | Maria Anna Channell | Psychologist | 221 Greeley St, Clinton, MA 01510-1029 | 2006-09-03 |
| 1487130019 | Total You Integrative Medicine Center | Psychologist | 9135 Piscataway Rd Ste 410, Clinton, MD 20735-2555 | 2018-07-17 |
| 1790152940 | Bullock Psychological Services LLC | Psychologist | 1477 N 2000 W, Suite E, Clinton, UT 84015-8638 | 2015-08-24 |
| Find all providers in CLINTON | ||||
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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.