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BASAVANTH MALLADI
NPI 1811666175
Psychologist - Clinical in Fpo, AP

Active since September 09, 2021

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Aug 7, 2023, Jan 16, 2023 and 3 more (6 updates tracked since 2021).

About Basavanth Malladi NPPES

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

BASAVANTH MALLADI (NPI 1811666175) is an individual clinical provider in Fpo, AP, licensed in Utah (12970271-2501) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1811666175
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameBASAVANTH MALLADI
Location AddressPSC 476 BOX 25Fpo, AP 96322-0001
Mailing AddressPsc 476 Box 25Fpo, AP 96322-0001 · (315) 252-8872
Phone(315) 252-2071
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateAugust 22, 20236 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1811666175 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 UT · 12970271-2501
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.

Other Providers at the Same Location NPPES 19

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

DR. THUY THI THANH PHAM PHARMACIST
Pharmacist
PSC 476 BOX 25
FPO, AP 96322
(315) 252-2550
DR. YUMMY NGUYEN M.D.
Family Medicine
PSC 476 BOX 25
FPO, AP 96322
(315) 252-2461
DR. WILLIAM ASHLEY ROBERTSON FNP
Nurse Practitioner (Primary Care)
PSC 476 BOX 25
FPO, AP 96322
(315) 252-2550
KAISER SULTANI O.D.
Optometrist
PSC 476 BOX 25
FPO, AP 96322
(623) 877-3571
PETER YAO
Dentist
PSC 476 BOX 25
FPO, AP 96322
(315) 252-2076
BRANCH MEDICAL CLINIC SASEBO COMFLEACT
Clinic/Center (Military/U.S. Coast Guard Outpatient)
PSC 476 BOX 25
FPO, AP 96322
MARILYN M BROOKS LCSW
Social Worker (Clinical)
PSC 476 BOX 25
FPO, AP 96322
KERMIT SALIVIA M.D.
Family Medicine
PSC 476 BOX 25
FPO, AP 96322
(315) 252-3624

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 Basavanth Malladi's NPI number?

The NPI number for Basavanth Malladi is 1811666175. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Basavanth Malladi located?

Basavanth Malladi practices at Psc 476 Box 25, Fpo, AP 96322. The listed phone number is (315) 252-2071.

What is Basavanth Malladi'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 Basavanth Malladi was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.