Individual provider Active NPI

Adolf Malik

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013369420
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP141917 Issued in TX
Practice address
6315 Gulfton St
Houston, TX 77081-1107
Phone
(713) 457-4372
NPI assigned
Jul 9, 2016
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008712 NC
Family Nurse Practitioner 363LF0000X AP141917 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP141917 TX Primary

Addresses

Primary practice location

6315 Gulfton St
Houston, TX 77081-1107

Mailing address

1621 Crystal Creek Dr
Durham, NC 27712-2485

Other practice location 1

38 Westgate Pkwy
Asheville, NC 28806-3808
Phone (919) 225-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, ND3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221201001553 TX Practitioner - Nurse Practitioner 8325329550 Reassigns benefits to 3 organizations
I20250519003187 IA Practitioner - Nurse Practitioner 8325329550 Reassigns benefits to 1 organization
I20250708004619 ND Practitioner - Nurse Practitioner 8325329550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2323 Grand Ave
Suite 100
Des Moines, IA 50312-5307
Phone (281) 762-0659

5026 Heather Meadow LN
Sugar Land, TX 77479-6800
Phone (919) 225-4094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP141917TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kinghaven Counseling Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Avemapsych & Medical PLLC Family CurrentSince Feb 27, 2023 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Texan Urgent Care PLLC Past Accepting new patients

Locations

2323 Grand Ave
Ste 100
Des Moines, IA 50312
Phone (281) 762-0659

1531 32nd Ave S
Ste 102
Fargo, ND 58103
Phone (281) 762-0659

6315 Gulfton St
Ste 100
Houston, TX 77081
Phone (713) 457-4357

2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112

3025 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (214) 257-0682

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1013369420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 CRYSTAL CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 GULFTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811107",
            "telephone_number": "713-457-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Westgate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288063808",
            "country_code": "US",
            "telephone_number": "919-225-4094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ADOLF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-09",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008712",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141917",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.