DR. MARIA W MALCOLM (PH.D.) – Clinical Psychologist, NPI 1770886301

DR. MARIA W MALCOLM (PH.D.) is a healthcare provider. based in Vancouver, Washington. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY 2409 (WA). The NPI Number for DR. MARIA W MALCOLM (PH.D.) is 1770886301

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIA W MALCOLM (PH.D.)
NPI
1770886301
Phone
(360) 694-2016
Address
3112 MAIN ST
Enumeration Date
21 December 2010
Last Update Date
21 December 2010

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8438156789
Graduation Year
1998 (28 years ago)
PAC ID
4587891247
Group Practice PAC ID
8123361730
Professional Enrollment ID
I20131230001145
Address ID
SC299261176HI1555XRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

775 CLINICAL PSYCHOLOGIST in WA

Provider Addresses for DR. MARIA W MALCOLM (PH.D.)

  • 3112 MAIN ST

    VANCOUVER, WA 986632752

    Phone: (360) 694-2016

    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)

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: 2013-12-30

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
I20131230001145IPsychologist Billing IndependentlySCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour34929$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 98663)

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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: 8123361730View full group profile
NameSpecialtyState
Mental Health CounselorSC
Clinical Social WorkerIL
Marriage And Family TherapistSC
Nurse PractitionerSC
Mental Health CounselorSC
Clinical Social WorkerNC
-SC
Clinical Social WorkerNC
Marriage And Family TherapistSC

Reviews

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Frequently asked questions

Can I cross-check DR. MARIA W MALCOLM (PH.D.) using NPI 1770886301?
NPI 1770886301 belongs to DR. MARIA W MALCOLM (PH.D.); compare other details if you need extra assurance.
Is there an active status for DR. MARIA W MALCOLM (PH.D.)?
For scheduling context, DR. MARIA W MALCOLM (PH.D.) is shown as active in the registry.
How would a patient describe DR. MARIA W MALCOLM (PH.D.)'s focus?
For DR. MARIA W MALCOLM (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARIA W MALCOLM (PH.D.)?
Directory geography for DR. MARIA W MALCOLM (PH.D.) centers on Vancouver, Washington.
Does DR. MARIA W MALCOLM (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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