BRUCE EDWARD MALCOLM PSYD - NPI 1740480755 - Psychologist in Medina, OH

Q: What is Bruce Malcolm's NPI number?

The NPI number for Bruce Malcolm is 1740480755. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Q: What is Bruce Malcolm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bruce Malcolm was last updated on March 29, 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.

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About Bruce Edward Malcolm Psyd NPPES

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

BRUCE EDWARD MALCOLM PSYD (NPI 1740480755) is an individual clinical provider in Medina, Ohio, licensed in Ohio (7105) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1740480755

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBRUCE EDWARD MALCOLMCredential: PSYD

Location Address3593 MEDINA RD # 181Medina, OH 44256-8182

Mailing Address2121 Kevin Ct NeNew Philadelphia, OH 44663-9446 · (330) 401-5244

Phone(330) 401-5244

Sole ProprietorYes

Enumeration DateJuly 19, 2007

Last NPPES UpdateMarch 29, 2022

NPPES CertifiedMarch 15, 2022

✔ NPI 1740480755 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 OH · 7105

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.

3593 MEDINA RD # 181, Medina, OH 44256

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Other Identifiers 4

Other382695674MI · Value Options

Other3218695674MI · Ppom

Other680H215160MI · Bc/bs Of Michigan

Other371354712MI · Magellan

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.

SUSAN DORMAN LPN

Licensed Practical Nurse