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Ivy Mallisham, PSY.D.
NPI 1689653743 · Clinical Psychologist · Columbus, GA
Ivy Mallisham, PSY.D. is a Clinical Psychologist provider in Columbus, GA (NPI 1689653743).
Provider details
- NPI number
- 1689653743
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY001132 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5041 Warm Springs Rd
Suite B
Columbus, GA 31909-6938
Phone: (706) 569-9199
Fax: (706) 569-8990
Street-level locationGet directions
Mailing address
5041 Warm Springs Rd
Columbus, GA 31909-6938
Registry dates
- Enumerated
- 2006-01-16
- Last updated
- 2007-07-09
Frequently asked questions
- What is Ivy Mallisham's NPI number?
- Ivy Mallisham's National Provider Identifier (NPI) is 1689653743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivy Mallisham's specialty?
- Ivy Mallisham is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Ivy Mallisham located?
- Ivy Mallisham's practice location on file with NPPES is 5041 Warm Springs Rd, Columbus, GA 31909-6938.
- What is Ivy Mallisham's phone number?
- The practice phone number listed in the NPPES registry for Ivy Mallisham is (706) 569-9199.
- Is Ivy Mallisham's NPI active?
- Yes — Ivy Mallisham's NPI (1689653743) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.