Active NPI
David Guy Malen, M.D.
- Psychiatry Physician
- Naples, FL
National Provider Identifier
1003066291
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 48230
- Practice address
- 4100 Corporate Square, 21
Naples, FL 34104 - Phone
- (239) 331-0917
- NPI assigned
- Sep 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 48230 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME48230 | FL |
Addresses
Primary practice location
4100 Corporate Square, 21
Naples, FL 34104
Mailing address
P.O. Box 11593
Naples, FL 34101-1593
Phone (239) 331-0917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046775800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 48230 | FL | MD | Psychiatry Physician |
| ME48230 | FL | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1003066291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 11593",
"city": "NAPLES",
"state": "FL",
"postal_code": "341011593",
"telephone_number": "239-331-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 CORPORATE SQUARE, 21",
"city": "NAPLES",
"state": "FL",
"postal_code": "34104",
"telephone_number": "239-331-0917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEN",
"first_name": "DAVID",
"middle_name": "GUY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 48230",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME48230",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046775800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.