Active NPI
Matthew Malcolm
- Behavior Analyst
- Wexford, PA
National Provider Identifier
1043886930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH007312
- Practice address
- 2500 Brooktree Rd Ste 101
Wexford, PA 15090-9278 - Phone
- (412) 230-8615
- NPI assigned
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB843445 | ||
| Behavior Analyst | 103K00000X | BH007312 | PA | Primary |
Addresses
Primary practice location
2500 Brooktree Rd Ste 101
Wexford, PA 15090-9278
Mailing address
2500 Brooktree Rd Ste 101
Wexford, PA 15090-9278
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 |
|---|---|---|---|
| BH007312 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1043886930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 BROOKTREE RD STE 101",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BROOKTREE RD STE 101",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909278",
"telephone_number": "412-230-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOLM",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "BACB843445",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH007312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.