Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conor J Malloy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356801062

Conor J Malloy is a Psychiatry in Sarasota, Florida. Graduated from Florida State University College of Medicine in 2019, 7 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
7
Trained at
Florida State University College of Medicine
Licensed in
FL, KY
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1625 S Osprey Ave
Sarasota, FL 34239-2929
Phone: (941) 917-7760
Fax: (941) 917-8805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 Fountain Ct, Lexington, KY 40509-1888 — (859) 323-6021

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME167460 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence R5130 (KY)

Record details

NPI number1356801062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing addressPo Box 947407, Atlanta, GA 30394-7407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sarasota