ASHLEY MARIE MALOOLY PHD
NPI 1528690401
Psychologist - Clinical in San Diego, CA

Q: What is Ashley Malooly's NPI number?

The NPI number for Ashley Malooly is 1528690401. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Q: What is Ashley Malooly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Ashley Malooly enrolled in Medicare?

No. Ashley Malooly has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ashley Malooly was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2020Opted out of Medicare · through Apr 1, 2027

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 906-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2020, Feb 7, 2020 (2 updates tracked since 2020).

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About Ashley Marie Malooly Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY MARIE MALOOLY PHD (NPI 1528690401) is an individual clinical provider in San Diego, California, licensed in California (PSY29868) and active in the NPI registry since February 2020. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1528690401

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameASHLEY MARIE MALOOLYCredential: PHD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 906-8273

Fax(888) 539-8781

Sole ProprietorNo

Enumeration DateFebruary 7, 2020

Last NPPES UpdateApril 8, 20202 updates tracked since enumeration

NPPES CertifiedApril 8, 2020

✔ NPI 1528690401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY29868

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

200 W ARBOR DR, San Diego, CA 92103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ashley Marie Malooly Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.

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