Individual provider Active NPI

Caryn Bunder Malkus, MA, LCMFT

  • Marriage & Family Therapist
  • Bethesda, MD
National Provider Identifier
1194294314
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM677 Issued in MD
Practice address
4905 Del Ray Ave Ste 403
Bethesda, MD 20814-2557
Phone
(240) 316-4673
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 LCM677 MD Primary

Addresses

Primary practice location

4905 Del Ray Ave Ste 403
Bethesda, MD 20814-2557

Mailing address

4905 Del Ray Ave Ste 403
Bethesda, MD 20814-2557
Phone (240) 316-4673

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LCM677MDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1194294314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 403",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142557",
            "telephone_number": "240-316-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DEL RAY AVE STE 403",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142557",
            "telephone_number": "240-316-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKUS",
        "first_name": "CARYN",
        "middle_name": "BUNDER",
        "name_prefix": "Ms.",
        "credential": "MA, LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.