Provider / Organization | NPI | Date Certified |
---|---|---|
SHELDON D. MALETT | 1194825760 | 2022-09-17 |
Sheldon D Malett [M] graduated in 1975 from University Of Rochester School Of Medicine And Dentistry and primarily specializes in Psychologist, Clinical.
Sheldon D. Malett is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194825760. Registration indicates Sheldon D. Malett is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
PECOS ID | 6305033077 |
Registration | PART-B:Y DME:Y HHA:N PMD:N |
Entity Type | Individual |
Provider Name | Dr. Sheldon D. Malett PH.D. |
Practice Office Address | 46 PRINCE ST SUITE LL004 ROCHESTER, NY US |
Practice Office Telephone | 5853302236 |
Mailing Address | 46 PRINCE ST STE LL004 ROCHESTER, NY 146071023 US |
Business Telephone | 5853302236 |
Code | Practice | License No State |
---|---|---|
103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 5392
NY |
00966936 | MEDICAID | NY | |
455462000 | OTHER | NY | MAGELLAN BEHAVI |
P010005392 | OTHER | NY | EXCELLUS BLUE S |