Mallika Bush

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

97541 Issued in CA

Practice address

3150 18TH St
San Francisco, CA 94110-2074

Phone

(415) 735-1556

NPI assigned

Jan 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1366989063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 VILLA NUEVA DR",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302737",
            "telephone_number": "415-735-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102074",
            "telephone_number": "415-735-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MALLIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Paul Busch, M.D., PH.D.
• Michaela Buschow
• Clarissa Bush, NP
• Janice Bush, M.A.,APCC
• Kortney Bush, AUD
• Marshall Bush, PH.D.
• Payton H Bush
• Robert Alfred Bush Jr., M.D.
• Shirley Ann Bush
• Dena Alexandra Bushman, RN, NP, MPH

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.