Active NPI
Harminder S Mallik, MD
- Psychiatry Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 10912R
- Practice address
- 1415 Tulane Ave
New Orleans, LA 70112-2600 - Phone
- (504) 988-2300
- Fax
- (504) 988-4270
- NPI assigned
- Dec 11, 2006
- Last updated
- Dec 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 10912R | LA | Primary |
Addresses
Primary practice location
1415 Tulane Ave
New Orleans, LA 70112-2600
Mailing address
1430 Tulane Ave
TW22
New Orleans, LA 70112-2632
Phone (504) 988-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996963 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Indiana University School of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4040 N Blvd
Baton Rouge, LA 70806-3829
Phone (225) 300-8470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10912R | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| East Louisiana State Hospital | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Education Fund | Past | Accepting new patients |
Locations
4502 Highway 951
Jackson, LA 70748
Phone (225) 634-0224
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1430 Tulane Ave
#22
New Orleans, LA 70112
1440 Canal St
New Orleans, LA 70112
Phone (504) 588-5405
Organizations & group practices 6
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New Orleans, LA
- NPI 1235523085
-
- Geriatric Psychiatry Physician
- Slidell, LA
- NPI 1568768679
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
dba Eastern LA Mental Health System
- Psychiatric Hospital
- Jackson, LA
- NPI 1043206543
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
dba Tulane University Medical Group
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1790354595
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1336209238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE",
"address_2": "TW22",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-988-2300",
"fax_number": "504-988-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-2300",
"fax_number": "504-988-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLIK",
"first_name": "HARMINDER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "10912R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1996963",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.