DR. MALINDA ANN DALE (NPI# 1629050570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629050570 |
| Entity Type | Individual |
| Full Name | DR. MALINDA ANN DALE |
| Credential | PHD |
| Practice Address |
506 N Jackson St The Renaissance Centre Albany GA 31701-2308 |
| Mailing Address |
760 Flowing Well Rd Leesburg GA 31763-3126 |
| Practice Telephone | 2298897200 |
| Practice Fax Number | 2298897393 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2011-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY002619 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000966985A | 05 |
| Street Address |
506 N JACKSON ST THE RENAISSANCE CENTRE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131380 | Diane Kathleen Cerjan | Psychologist | 506 N Jackson St, The Renaissance Centre, Albany, GA 31701-2308 | 2005-11-16 |
| 1023474707 | Cynthia Morrell | Counselor | 506 N Jackson St, Albany, GA 31701-2308 | 2016-01-11 |
| 1417378142 | Thomas Heyer | Psychologist | 506 N Jackson St, Albany, GA 31701-2308 | 2013-12-24 |
| 1518395581 | Lindsey Tucker | Counselor | 506 N Jackson St, Albany, GA 31701-2308 | 2013-10-29 |
| 1194041566 | Robin Walsh | Psychologist | 506 N Jackson St, Albany, GA 31701-2308 | 2010-04-10 |
| 1770764094 | Alyssa Bailey Mcgrath | Social Worker | 506 N Jackson St, The Renaissance Centre, Albany, GA 31701 | 2007-11-15 |
| 1104970193 | The Renaissance Centre, Inc. | Psychologist | 506 N Jackson St, Albany, GA 31701 | 2007-01-23 |
| 1558343921 | Richard John Payne | Counselor | 506 N Jackson St, The Renaissance Centre, Albany, GA 31701-2308 | 2005-11-18 |
| 1710969654 | Nick Carden | Psychologist | 506 N Jackson St, Renaissance Centre, Albany, GA 31701-2308 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1558910208 | Leslie Van Buren Waite Jr. | Psychologist | 113 Holland Ave Rm C1017, Albany, NY 12208-3410 | 2019-09-05 |
| 1962971762 | Robert David Cardom | Psychologist | 33 Woodlake Rd Ste 104, Albany, NY 12203-4057 | 2018-11-21 |
| 1831665157 | Bhumi Mehta | Psychologist | 125 Silver Leaf Dr, Albany, GA 31721-7704 | 2018-10-15 |
| 1013404870 | Julia Margaretha Hormes | Psychologist | 260 Washington Avenue Ext Ste 101, Albany, NY 12203-6326 | 2018-04-17 |
| 1184160715 | Brett Hartman | Psychologist | 1762 Central Ave Ste 201, Albany, NY 12205-4777 | 2017-01-06 |
| 1689121774 | Daniel Ryan Hoffman | Psychologist | 53 Mercer St, Albany, NY 12203-3616 | 2016-09-06 |
| 1043658404 | Brooke Picotte | Psychologist | 20 Corporate Woods Blvd, Suite 600, Albany, NY 12211-2396 | 2013-06-07 |
| 1215273685 | Alan Galgana | Psychologist | 44 Holand Ave, Bureau of Behavioral and Clinical Solutions, Albany, NY 12229-0001 | 2012-12-12 |
| 1285953612 | Katja E Mohr | Psychologist | 845 Santa Fe Ave, Albany, CA 94706-1823 | 2010-05-25 |
| 1831322809 | Jed Sekoff | Psychologist | 909 Ordway St, Albany, CA 94706-2115 | 2009-08-25 |
| Find all providers in ALBANY | ||||
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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.