Active NPIIndividual provider

Lisa S Maleiko

Nurse Practitioner, Psych/Mental Health in Old Lyme, Connecticut

NPI Number1548048093
Practice location
19 Halls RD Ste 213, Old Lyme, CT 06371-1457
Fax
—
Last updated
October 29, 2026

Lisa S Maleiko is a Nurse Practitioner, Psych/Mental Health based in Old Lyme, CT. Lisa S Maleiko practices in Old Lyme, CT. The NPI Number for Lisa S Maleiko is 1548048093 and holds a License No. APRN03818 (RI). The current practice location address for Lisa S Maleiko is 19 Halls RD Ste 213, Old Lyme, CT 06371-1457 and can be reached out via phone at 959-666-3777.

Provider Profile Details

NPI Number
1548048093
Provider Name
Lisa S Maleiko
Provider Entity Type
Individual
Gender
Female
Address
19 Halls RD Ste 213, Old Lyme, CT 06371-1457
Phone Number
959-666-3777
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
September 18, 2023
Last Update Date
October 29, 2026
Certification Date
October 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Halls RD Ste 213
Old Lyme, CT 06371-1457
Zip
06371-1457
Phone Number
959-666-3777
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944
City
Cranston
State
RI
Zip
02920-7944
Phone Number
401-343-4343

License Information

License Number (1)
APRN03818
License State (1)
RI
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (2)
12372
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa S Maleiko?

The NPI number of Lisa S Maleiko is 1548048093. It was assigned on September 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Lisa S Maleiko?

Lisa S Maleiko is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in RI under license number APRN03818.

Where does Lisa S Maleiko practice?

The practice location is 19 Halls RD Ste 213, Old Lyme, CT 06371-1457. The office can be reached at 959-666-3777 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548048093 directly on the NPPES registry website.

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