Individual provider Active NPI

Malik Muhammad, PH.D.

  • Psychologist
  • Durham, NC
National Provider Identifier
1326345588
Registry record updated Sep 29, 2016
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 19, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4438 Issued in NC
Practice address
20 W Colony PL
Ste 280
Durham, NC 27705-5591
Phone
(800) 984-3167
Fax
(815) 642-0216
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4438 NC Primary

Addresses

Primary practice location

20 W Colony PL
Ste 280
Durham, NC 27705-5591

Mailing address

20 W Colony PL
Ste 280
Durham, NC 27705-5591
Phone (800) 984-3167

Other identifiers 1

IdentifierTypeStateIssuer
6107694MedicaidNC

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4438NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Synthesis Behavioral Medicine CurrentSince Apr 6, 2013 Accepting new patients

Locations

20 W Colony Pl
Ste 280
Durham, NC 27705
Phone (619) 218-4637

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1326345588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W COLONY PL",
            "address_2": "STE 280",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055591",
            "telephone_number": "800-984-3167",
            "fax_number": "815-642-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W COLONY PL",
            "address_2": "STE 280",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055591",
            "telephone_number": "800-984-3167",
            "fax_number": "815-642-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "MALIK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.