Malachite Institute for Behavioral Health Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1000650 Issued in DC

Legal business name

MALACHITE INSTITUTE FOR BEHAVIORAL HEALTH CORPORATION

Practice address

5415 Connecticut Ave NW
Suite T43
Washington, DC 20015-2765

Phone

(202) 248-0316

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Layla Kassem, PHD

Title

Owner

Phone

(202) 248-0316

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Elizabeth Marceron Glienke, PH.D.

  • Clinical Psychologist
  • Skokie, IL
  • NPI 1396293015
  NPD (past)

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1285006155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 CONNECTICUT AVE NW",
            "address_2": "SUITE T43",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152765",
            "telephone_number": "202-248-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 CONNECTICUT AVE NW",
            "address_2": "SUITE T43",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152765",
            "telephone_number": "202-248-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALACHITE INSTITUTE FOR BEHAVIORAL HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "LAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-248-0316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomasena Makun
• Donna Cherie Makuson, CNA
• Jerome Makuson
• Nicolette Makuson
• Bernadetha Makwega
• Rafael Malaga, PSY.D.
• Cordelia Malai
• Liza Malakshahi Minovi, D.D.S.
• Ladifatou Malane Pempeme
• Azeb Malase

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.