MOHAMMAD S MALLICK (NPI# 1689607798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689607798 |
| Entity Type | Individual |
| Full Name | MOHAMMAD S MALLICK |
| Credential | MD |
| Practice Address |
1525 Liberty Ct Brookfield WI 53045-5327 |
| Practice Telephone | 2626466280 |
| Mailing Telephone | 2626466280 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
27719 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31466300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659567253 | Mohammad Sami Akhtar Mallick | Psychiatry & Neurology | 1390 Columbia Ave, #171, Lancaster, PA 17603-4743 | 2007-09-18 |
| Street Address |
1525 LIBERTY CT |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629221502 | Mohammad Mallick, Md, LLC | Psychiatric Unit | 1525 Liberty Ct, Brookfield, WI 53045-5327 | 2008-10-23 |
| 1407048481 | Mohammad S Mallick Md LLC | Clinic/Center | 1525 Liberty Ct, Brookfield, WI 53045-5327 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| 1588739155 | Milwaukee Psychiatric Physicians Chartered | Psychiatry & Neurology | 12760 W North Ave Bldg A, Brookfield, WI 53005-4628 | 2006-11-21 |
| 1588745723 | Barbara L Hale-richlen | Psychiatry & Neurology | 12720 W North Ave # 200, Eastbook Office Park-building B, Brookfield, WI 53005-4637 | 2006-10-17 |
| 1871550152 | Michael Jeffrey Logan | Psychiatry & Neurology | 16535 W Bluemound Road, Suite 200, Brookfield, WI 53005-5906 | 2006-04-28 |
| 1093700288 | Gary K Schnell | Psychiatry & Neurology | 12760 W North Ave, Building A, Brookfield, WI 53005-4628 | 2005-09-14 |
| 1396139671 | Sally Lohs | Psychiatry & Neurology | 12760 W North Ave Bldg A, Brookfield, WI 53005-4628 | 2015-03-24 |
| 1700097045 | Michelle Kathleen Vanden Noven | Psychiatry & Neurology | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | 2007-05-25 |
| 1295952307 | Corey Carr | Psychiatry & Neurology | 13950 W Capitol Dr, 2nd Fl, Brookfield, WI 53005-2441 | 2007-04-19 |
| 1417022203 | John David Wean | Psychiatry & Neurology | 12760 W North Ave, Building A, Brookfield, WI 53005-4628 | 2006-11-21 |
| 1184710550 | Lisa C. Diamond | Psychiatry & Neurology | 940 Federal Rd, Brookfield, CT 06804-1150 | 2006-10-05 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on MOHAMMAD S MALLICK.
| 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.