THOMAS JONATHAN MALCOLM PH.D. NPI 1528083953

NPI Information

  • NPI: 1528083953
  • Provider Name: THOMAS JONATHAN MALCOLM, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 112 W BENNETT AVE
    SUITE 4
    GLENDORA, CA
    ZIP 91741
  • Phone: (626) 335-2466

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NPI Details

Thomas Jonathan Malcolm, PH.D. is a clinical psychologist in Glendora, CA. The provider is 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. Thomas Jonathan Malcolm, PH.D. NPI is 1528083953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

112 W BENNETT AVE
SUITE 4
GLENDORA, CA
ZIP 91741-568
Phone: (626) 335-2466
Fax: (626) 335-9686

The NPI 1528083953 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPSY4156CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP4156MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2R14327MEDICARE UPINCALIFORNIA
300PL41560MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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