DR. LYDIA ROSA MALCOLM PHD
NPI 1598267809
Psychologist - Clinical in Pembroke Pines, FL

Q: What is Lydia Malcolm's NPI number?

The NPI number for Lydia Malcolm is 1598267809. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Q: What is Lydia Malcolm's specialty?

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

Q: Is Lydia Malcolm enrolled in Medicare?

No. Lydia Malcolm has opted out of Medicare through July 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 Lydia Malcolm was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 02, 2018Opted out of Medicare · through Jul 1, 2027

9050 PINES BLVD STE 450-00, PEMBROKE PINES, FL 33024(954) 715-5477(954) 998-7177 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2022, Sep 9, 2020, Aug 30, 2018 and 3 more (6 updates tracked since 2018).

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About Dr. Lydia Rosa Malcolm Phd NPPES

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

DR. LYDIA ROSA MALCOLM PHD (NPI 1598267809) is an individual clinical provider in Pembroke Pines, Florida, licensed in Florida (PY10094) and active in the NPI registry since March 2018. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1598267809

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LYDIA ROSA MALCOLMCredential: PHD

Location Address9050 PINES BLVD STE 450-00Pembroke Pines, FL 33024-6455

Mailing Address18459 Pines Blvd # 120Pembroke Pines, FL 33029-1400 · (954) 715-5477

Phone(954) 715-5477

Fax(954) 998-7177

Sole ProprietorNo

Enumeration DateMarch 2, 2018

Last NPPES UpdateJanuary 12, 20226 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2022

✔ NPI 1598267809 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 FL · PY10094

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.

9050 PINES BLVD STE 450-00, Pembroke Pines, FL 33024

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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

Dr. Lydia Rosa Malcolm 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 July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023

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

Other Providers at the Same Location NPPES

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

AUTHENTIC BEHAVIORAL HEALTH, LLC

Psychologist

9050 PINES BLVD STE 450-00
PEMBROKE PINES, FL 33024

Broward County (954) 715-5477

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 Lydia Malcolm's NPI number?

The NPI number for Lydia Malcolm is 1598267809. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Lydia Malcolm located?

Lydia Malcolm practices at 9050 Pines Blvd Ste 450-00, Pembroke Pines, FL 33024. The listed phone number is (954) 715-5477.

What is Lydia Malcolm's specialty?

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

Is Lydia Malcolm enrolled in Medicare?

No. Lydia Malcolm has opted out of Medicare through July 1, 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 Lydia Malcolm was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.