DR. MARY L MALIK


Address: 1110 California Blvd Ste A, San Luis Obispo, CA 93401-2970
Phone: 8055412490

DR. MARY L MALIK (NPI# 1053328823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053328823
Entity Type Individual
Full Name DR. MARY L MALIK
Credential PHD
Practice Address 1110 California Blvd Ste A
San Luis Obispo
CA 93401-2970
Practice Telephone 8055412490
Mailing Telephone 8055412490
Enumeration Date 2006-08-02
Last Update Date 2019-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY19861 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD OF CA PIN OPL198610 01

Office Location

Street Address 1110 CALIFORNIA BLVD STE A
City SAN LUIS OBISPO
State CA
Zip Code 93401-2970

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225418171 Sierra Mental Wellness Group Psychologist 1116 Peach St, San Luis Obispo, CA 93401-2819 2015-06-05
1346642535 Amy Liston Psychologist 8101 Highway 1 N, San Luis Obispo, CA 93409-8101 2014-09-19
1447592274 Cynthia Ann Hake Psychologist Highway One N, San Luis Obispo, CA 93409-8101 2013-03-19
1235287574 Steven M. Kadin Psychologist 1264 Higuera St Ste 206, San Luis Obispo, CA 93401-3129 2007-01-05
1841358397 Azarm Ghareman Psychologist 1241 Johnson Ave # 118, San Luis Obispo, CA 93401-3306 2006-12-05
1134291602 Lawrence Stanley Ratner Psychologist 2705 El Cerrito St, San Luis Obispo, CA 93401-4669 2006-11-13
1396836532 Larry Galpert Psychologist 1540 Marsh St Ste 260, San Luis Obispo, CA 93401-2985 2006-09-27
1659382182 Jeffrey Friedman, Phd, Psychologist, Inc Psychologist 956 Walnut St Ste 20, San Luis Obispo, CA 93401-1707 2006-08-10
1174551303 Hannah Joy Roberts Psychologist 1026 Palm St, Suite 215, San Luis Obispo, CA 93401-3260 2006-06-28
1942270541 Eric David Goodman Psychologist 1194 Pacific St Ste 101, Suite B-2, San Luis Obispo, CA 93401-3338 2006-01-25
Find all providers in SAN LUIS OBISPO

Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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