Malkie Davidson, PSYD
NPI 1427717917ActiveIndividual· Psychologist· Passaic, NJ
Psychologist (PSYD) in Passaic, New Jersey, licensed in NY and NJ, with an NPI issued in December 2021. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1427717917 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Dec 11, 2021 |
| Last updated in NPPES | Dec 11, 2021 |
| Certified by provider | Dec 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 024622 | NY |
| Psychologist | 103T00000X | 042668 | NJ |
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) |
|---|
Other Psychologist providers in Passaic
- 1720021561
- 1043831183
- 1134476369
- 1053980441
- 1760044606