Individual provider Active NPI

Melinda Malkie, BEHAVIOR ANALYST

  • Behavior Analyst
  • Port Richey, FL
National Provider Identifier
1295474252
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-68477 Issued in FL
Practice address
9405 Barnstead LN
Port Richey, FL 34668-4302
Phone
(954) 650-4510
NPI assigned
May 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-68477 FL Primary

Addresses

Primary practice location

9405 Barnstead LN
Port Richey, FL 34668-4302

Mailing address

430 Shaddock St
Tarpon Springs, FL 34689-3518
Phone (954) 650-4510

Other practice location 1

13911 Lakeshore Blvd Ste 103
Hudson, FL 34667-7102
Phone (954) 650-4510

Other identifiers 1

IdentifierTypeStateIssuer
114421000MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1295474252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SHADDOCK ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893518",
            "telephone_number": "954-650-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 BARNSTEAD LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684302",
            "telephone_number": "954-650-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13911 Lakeshore Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677102",
            "country_code": "US",
            "telephone_number": "954-650-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALKIE",
        "first_name": "MELINDA",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-68477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114421000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.