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DR. IVY J MALLISHAM PSY.D.
NPI 1689653743
Psychologist - Clinical in Columbus, GA

Active since January 16, 2006
5041 WARM SPRINGS RD, SUITE B, COLUMBUS, GA 31909(706) 569-9199(706) 569-8990 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ivy J Mallisham Psy.d. NPPES

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

DR. IVY J MALLISHAM PSY.D. (NPI 1689653743) is an individual clinical provider in Columbus, Georgia, licensed in Georgia (PSY001132) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1689653743
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IVY J MALLISHAMCredential: PSY.D.
Location Address5041 WARM SPRINGS RD, SUITE BColumbus, GA 31909-6938
Mailing Address5041 Warm Springs Rd, Suite BColumbus, GA 31909-6938 · (706) 569-9199 · Fax (706) 569-8990
Phone(706) 569-9199
Fax(706) 569-8990
Sole ProprietorYes
Enumeration DateJanuary 16, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1689653743 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 GA · PSY001132
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.
5041 WARM SPRINGS RD, Columbus, GA 31909
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Other Identifiers 1

Medicare ID-Type Unspecified68BBCLRClinical Psychologist

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 Ivy Mallisham's NPI number?

The NPI number for Ivy Mallisham is 1689653743. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Ivy Mallisham located?

Ivy Mallisham practices at 5041 Warm Springs Rd Suite B, Columbus, GA 31909. The listed phone number is (706) 569-9199.

What is Ivy Mallisham's specialty?

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

When was this NPI record last updated?

The NPPES record for Ivy Mallisham was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.