Individual provider Active NPI

Maile C.N. Maly, AMFT

  • Marriage & Family Therapist
  • Solvang, CA
National Provider Identifier
1124834254
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT151553 Issued in CA
Practice address
2029 Village LN Ste 201
Solvang, CA 93463-3217
Phone
(805) 697-4053
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT151553 CA Primary

Addresses

Primary practice location

2029 Village LN Ste 201
Solvang, CA 93463-3217

Mailing address

PO Box 552
Los Olivos, CA 93441-0552
Phone (805) 697-4053

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

LicenseStateTypeSpecialty
AMFT151553CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling and Trauma Healing Center, Inc. CurrentSince Dec 22, 2024 Accepting new patients

Locations

2029 Village Ln
Ste 201
Solvang, CA 93463
Phone (805) 697-4053

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1124834254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "LOS OLIVOS",
            "state": "CA",
            "postal_code": "934410552",
            "telephone_number": "805-697-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 VILLAGE LN STE 201",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934633217",
            "telephone_number": "805-697-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALY",
        "first_name": "MAILE",
        "middle_name": "C.N.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT151553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.