Matthew Glen Malcolm

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

3400 Agate Heights Rd
Bellingham, WA 98226-9472

Phone

(360) 667-6000

NPI assigned

Nov 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lake Whatcom Residential & Treatment Center

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1043281736
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1114203320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 DALLMAN RD",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828224",
            "telephone_number": "360-631-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 AGATE HEIGHTS RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269472",
            "telephone_number": "360-667-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "MATTHEW",
        "middle_name": "GLEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew H Maixner, M.D.
• Julie A. Major, PSYD
• Victor W Mak, DDS, MSD
• Nizar R. Makan, MD
• Elaine Tina Maki, MA CCC-SLP
• Mania Malekian Nobarani, PHARMD
• Rebecca Malinosky, MA, LMHC
• Michael J Mallory, MD
• Kathleen Warner Malnor, CNM, ARNP
• John Logan Malone

• Case Management Agency in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.