Marie Helene Malec

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704216028 Issued in MI

Practice address

1010 E West Maple Rd Ste 2001010
Walled Lake, MI 48390-3571

Phone

(248) 525-6832

Fax

(248) 529-1603

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marie Helene Jacques Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Therapeutics, LLC

  • Methadone Clinic
  • Walled Lake, MI
  • NPI 1902284193
  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1063192151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E WEST MAPLE RD STE 200",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903571",
            "telephone_number": "248-525-6832",
            "fax_number": "248-529-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E WEST MAPLE RD STE 2001010",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903571",
            "telephone_number": "248-525-6832",
            "fax_number": "248-529-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEC",
        "first_name": "MARIE",
        "middle_name": "HELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704216028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "JACQUES",
            "middle_name": "HELENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J Lipson, OD
• Hillary Little, NP-C
• Diane Lonnerstater
• Kristine Marie Ludy
• Ghadeer Makki
• David Maloney
• Susan A Maloney
• Elizabeth Ann Manela, SLP CCC
• Marco a Tauil DDS, PC
• Beth Maroko, RPH.

• Registered Nurse in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.