DR. IVY J MALLISHAM (PSY.D.) – Clinical Psychologist, NPI 1689653743

DR. IVY J MALLISHAM (PSY.D.) is a healthcare provider. based in Columbus, Georgia. specializing in Clinical Psychologist. They hold the professional credentials PSY.D.. They hold a License No. PSY001132 (GA). The NPI Number for DR. IVY J MALLISHAM (PSY.D.) is 1689653743

Main info

Female
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. IVY J MALLISHAM (PSY.D.)
NPI
1689653743
Phone
(706) 569-9199
Address
5041 WARM SPRINGS RD
Enumeration Date
16 January 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7065699199
Graduation Year
1983 (43 years ago)
PAC ID
2466519723
Professional Enrollment ID
I20090401000124
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. IVY J MALLISHAM (PSY.D.)

  • 5041, Warm Springs Road, Dover Hills, Foxfire, Columbus, Muscogee County, Georgia, 31909, United States

    SUITE B

    COLUMBUS, GA 319096938

    Phone: (706) 569-9199

    Fax: (706) 569-8990

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31909)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. IVY J MALLISHAM (PSY.D.)'s NPI?
Yes. DR. IVY J MALLISHAM (PSY.D.) is listed with NPI 1689653743 in the public NPI dataset.
Is DR. IVY J MALLISHAM (PSY.D.) listed as active for patients and plans?
The listing shows DR. IVY J MALLISHAM (PSY.D.) as active in the NPI system.
What is DR. IVY J MALLISHAM (PSY.D.)'s primary classification?
Clinical Psychologist is the headline specialty for DR. IVY J MALLISHAM (PSY.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. IVY J MALLISHAM (PSY.D.) serve?
DR. IVY J MALLISHAM (PSY.D.)'s listing highlights Columbus, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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