Mala Datta, PH.,D.
NPI 1184812513ActiveIndividual· Psychologist· Hackensack, NJ
Psychologist (PH.,D.) in Hackensack, New Jersey, licensed in NY and NJ, with an NPI issued in October 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1184812513 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.,D. |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2007 |
| Last updated in NPPES | Nov 6, 2023 |
| Certified by provider | Nov 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 01271101 | NY |
| Psychologist | 103T00000X | 35S100543600 | NJ |
| Psychologist | 103T00000X | 012711 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NY) |
|---|
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