Active NPIIndividual providerSole proprietor

Dr. David M Mahalick, PHD

Clinical Neuropsychologist in Maplewood, New Jersey

NPI Number1962617811
Practice location
2066 Millburn Ave, Suite 201, Maplewood, NJ 07040-3727
Fax
973-313-1666
Last updated
October 6, 2014

David M Mahalick is a Clinical Neuropsychologist based in Maplewood, NJ. David M Mahalick practices in Maplewood, NJ and has the professional credentials of PHD. The NPI Number for David M Mahalick is 1962617811 and holds a License No. 2582 (NJ). The current practice location address for David M Mahalick is 2066 Millburn Ave, Suite 201, Maplewood, NJ 07040-3727 and can be reached out via phone at 908-832-6629 and via fax at 973-313-1666.

Provider Profile Details

NPI Number
1962617811
Provider Name
David M Mahalick
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2066 Millburn Ave, Suite 201, Maplewood, NJ 07040-3727
Phone Number
908-832-6629
Fax Number
973-313-1666
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Other Names
Dr. D M Mahalick, PHD (Other Name)
Provider Enumeration Date
May 14, 2007
Last Update Date
October 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2066 Millburn Ave
Suite 201
Maplewood, NJ 07040-3727
Zip
07040-3727
Phone Number
908-832-6629
Fax Number
973-313-1666
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
2066 Millburn Ave
Suite 201
Maplewood, NJ 07040-3727
City
Maplewood
State
NJ
Zip
07040-3727
Phone Number
973-313-9393
Fax Number
973-313-1666

License Information

License Number (1)
2582
License State (1)
NJ
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X · Primary
License Number (2)
013948DUP
License State (2)
NY
Taxonomy (2)
Clinical Neuropsychologist · 103G00000X

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 Dr. David M Mahalick, PHD?

The NPI number of Dr. David M Mahalick, PHD is 1962617811. It was assigned on May 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. David M Mahalick, PHD?

Dr. David M Mahalick, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in NJ under license number 2582.

Where does Dr. David M Mahalick, PHD practice?

The practice location is 2066 Millburn Ave, Suite 201, Maplewood, NJ 07040-3727. The office can be reached at 908-832-6629 (phone) or 973-313-1666 (fax).

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 1962617811 directly on the NPPES registry website.

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