Individual provider Active NPI

Andrew B. Malveaux Sr., MSW

  • Case Manager/Care Coordinator
  • Houston, TX
National Provider Identifier
1265569073
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
08693 Issued in TX
Practice address
9520 Homestead Rd
# A-1
Houston, TX 77016-4424
Phone
(832) 715-4074
Fax
(832) 409-5896
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3876 TX
Clinical Social Worker 1041C0700X 08693 TX
Case Manager/Care Coordinator 171M00000X 08693 TX Primary

Addresses

Primary practice location

9520 Homestead Rd
# A-1
Houston, TX 77016-4424

Mailing address

9520 Homestead Rd
# A-1
Houston, TX 77016-4424
Phone (832) 715-4074

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Diagnostic Center PastSince Aug 3, 2017 Accepting new patients

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1265569073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 HOMESTEAD RD",
            "address_2": "# A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770164424",
            "telephone_number": "832-715-4074",
            "fax_number": "832-409-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 HOMESTEAD RD",
            "address_2": "# A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770164424",
            "telephone_number": "832-715-4074",
            "fax_number": "832-409-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVEAUX",
        "first_name": "ANDREW",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "3876",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "08693",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "08693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.