Individual provider Active NPI

Roger Malech

  • Marriage & Family Therapist
  • Morgan Hill, CA
National Provider Identifier
1174865356
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
68048 Issued in CA
Practice address
17245 Chesbro Lake Dr
Morgan Hill, CA 95037-9101
Phone
(408) 778-5120
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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 68048 CA Primary

Addresses

Primary practice location

17245 Chesbro Lake Dr
Morgan Hill, CA 95037-9101

Mailing address

17245 Chesbro Lake Dr
Morgan Hill, CA 95037-9101
Phone (408) 778-5120

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
68048CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1174865356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17245 CHESBRO LAKE DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379101",
            "telephone_number": "408-778-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17245 CHESBRO LAKE DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379101",
            "telephone_number": "408-778-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALECH",
        "first_name": "ROGER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "68048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.