Debra Berry Malmberg, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23475 Issued in CA

Practice address

732 Mott St Ste 100
San Fernando, CA 91340-4240

Phone

(818) 963-5690

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFDBCA

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.

• San Fernando Community Hospital

  • Primary Care Clinic/Center
  • San Fernando, CA
  • NPI 1245669555
  NPD
• San Fernando Community Health Center

  • Clinic/Center
  • San Fernando, CA
  • NPI 1093151821
  NPD (past)

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1295592871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 BEL AIRE DR",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113308",
            "telephone_number": "310-967-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 MOTT ST STE 100",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404240",
            "telephone_number": "818-963-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMBERG",
        "first_name": "DEBRA BERRY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "23475",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "23475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Macias
• Martha Ann Macmaster, N.P.
• Crystal Magana
• Andrea Isabel Magat
• Mahfouz M. Michael,M.D.,Inc.
• Jennifer Malone
• Taane Marie Marian
• Marianna Petrosyan O.D. an Optometric Corporation
• Michelle Marin Ramirez
• Amaya Marquez

• Psychologist in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.