DR. JOHN LAWRENCE MALOUF (PH.D.) – Clinical Psychologist, NPI 1104801620

DR. JOHN LAWRENCE MALOUF (PH.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 221073392501 (UT). The NPI Number for DR. JOHN LAWRENCE MALOUF (PH.D.) is 1104801620

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN LAWRENCE MALOUF (PH.D.)
NPI
1104801620
Phone
(801) 539-7000
Address
VALLEY MENTAL HEALTH/ NORTH VALLEY
Enumeration Date
7 December 2005
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
8426240037
Group Practice PAC ID
0042121196
Professional Enrollment ID
I20101013001208
Address ID
UT841243550SA4460XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

235 CLINICAL PSYCHOLOGIST in UT

Provider Addresses for DR. JOHN LAWRENCE MALOUF (PH.D.)

  • VALLEY MENTAL HEALTH/ NORTH VALLEY

    1020 S. MAIN ST.

    SALT LAKE CITY, UT 84101

    Phone: (801) 539-7000

    Type: Location

  • Valley Mental Health/ North Valley

    1020 S. Main St.

    Salt Lake City, UT 84101

    Phone: (801) 539-7000

    Type: Location

  • Salt Lake City, Salt Lake County, Utah, United States

    SALT LAKE CITY, UT 841013115

    Phone: (801) 539-7000

    Type: Mailing

  • 4460 S HIGHLAND DR STE 100

    SALT LAKE CITY, UT 841243550

    Phone: (801) 539-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101013001208IClinical PsychologistUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

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

Insurance plans in this area (ZIP 84101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042121196View full group profile

Reviews

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Frequently asked questions

How do I look up DR. JOHN LAWRENCE MALOUF (PH.D.) by NPI?
Use NPI 1104801620 when you need to reference DR. JOHN LAWRENCE MALOUF (PH.D.) in forms, claims, or directories.
Does this profile mean DR. JOHN LAWRENCE MALOUF (PH.D.) is currently active?
Yes — DR. JOHN LAWRENCE MALOUF (PH.D.) appears active in the national provider directory.
Does DR. JOHN LAWRENCE MALOUF (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. JOHN LAWRENCE MALOUF (PH.D.). Clinical services aligned with this taxonomy classification.
Where is DR. JOHN LAWRENCE MALOUF (PH.D.)'s primary listing?
We display Salt Lake City, Utah because that is what the record indicates for DR. JOHN LAWRENCE MALOUF (PH.D.).
Is DR. JOHN LAWRENCE MALOUF (PH.D.) a real provider?
This page reflects official NPPES data for NPI 1104801620. Always confirm identity and privileges with the practice and licensing boards.

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