DR. JOHANNA C MALONE PHD
NPI 1578799631
Psychologist - Clinical in Cambridge, MA

Active since June 03, 2009Opted out of Medicare · through Jan 23, 2027
ONE ARNOLD CIRCLE, #7, #107, CAMBRIDGE, MA 02139(617) 444-9221 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Johanna C Malone Phd NPPES

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

DR. JOHANNA C MALONE PHD (NPI 1578799631) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (9515) and active in the NPI registry since June 2009. She has opted out of Medicare through January 23, 2027.

NPPES Registry Identity

NPI1578799631
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHANNA C MALONECredential: PHD
Location AddressONE ARNOLD CIRCLE, #7, #107Cambridge, MA 02139-2250
Mailing Address1 Arnold Cir, #7Cambridge, MA 02139-2250 · (617) 444-9221
Sole ProprietorYes
Enumeration DateJune 3, 2009
Last NPPES UpdateJuly 22, 2016
NPI 1578799631 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 MA · 9515
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.
ONE ARNOLD CIRCLE, #7, Cambridge, MA 02139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Johanna C Malone 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 January 23, 2023 through January 23, 2027.

Opt-Out Effective DateJanuary 23, 2023
Opt-Out In Effect ThroughJanuary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Malone's NPI number?

The NPI number for Johanna Malone is 1578799631. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Johanna Malone located?

Johanna Malone practices at One Arnold Circle, #7 #107, Cambridge, MA 02139. The listed phone number is (617) 444-9221.

What is Johanna Malone's specialty?

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

Is Johanna Malone enrolled in Medicare?

No. Johanna Malone has opted out of Medicare through January 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Johanna Malone was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.