Active NPI
Lauren Mahalik, MS
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1275855611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 61697
- Practice address
- 7155 Mission Gorge Rd
San Diego, CA 92120-1130 - Phone
- (858) 300-0460
- Fax
- (858) 300-0461
- NPI assigned
- Feb 26, 2010
- Last updated
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | N/A | ||
| Marriage & Family Therapist | 106H00000X | 61697 | CA | Primary |
Addresses
Primary practice location
7155 Mission Gorge Rd
San Diego, CA 92120-1130
Mailing address
7155 Mission Gorge Rd
San Diego, CA 92120-1130
Phone (858) 300-0460
Other names 1
- Lauren Mahalik
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61697 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Services LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CYS Clarvida - Tustin
- Community/Behavioral Health Agency
- Tustin, CA
- NPI 1396436077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1275855611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 MISSION GORGE RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921201130",
"telephone_number": "858-300-0460",
"fax_number": "858-300-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 MISSION GORGE RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921201130",
"telephone_number": "858-300-0460",
"fax_number": "858-300-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHALIK",
"first_name": "LAUREN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "N/A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "61697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "MAHALIK",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.