Active NPI
Olivia Cassidy Malloch, CADC
- Addiction (Substance Use Disorder) Counselor
- Salem, NH
National Provider Identifier
1033582127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LC6169
- Practice address
- 6 Manor Pkwy Ste 201
Salem, NH 03079-2841 - Phone
- (603) 757-5643
- NPI assigned
- Nov 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC6169 | ME | Primary |
Addresses
Primary practice location
6 Manor Pkwy Ste 201
Salem, NH 03079-2841
Mailing address
74 Dowd Rd
Bangor, ME 04401-6700
Phone (207) 947-6800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC5538 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1033582127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 DOWD RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016700",
"telephone_number": "207-947-6800",
"fax_number": "207-947-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MANOR PKWY STE 201",
"city": "SALEM",
"state": "NH",
"postal_code": "030792841",
"telephone_number": "603-757-5643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOCH",
"first_name": "OLIVIA",
"middle_name": "CASSIDY",
"name_prefix": "Mrs.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC6169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.