Individual provider Active NPI

Sitwat F Malik, MD

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1376004556
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2023005024 Issued in MO
Practice address
3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322
Phone
(314) 270-1796
NPI assigned
Mar 28, 2019
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 2023005024 MO Primary
Psychiatry Physician 2084P0800X A185025 CA
Psychiatry Physician 2084P0800X 10862 GA
Psychiatry Physician 2084P0800X U2561 TX

Addresses

Primary practice location

3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322

Mailing address

3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322
Phone (314) 270-1796

Other practice location 1

601 E 66th St
Savannah, GA 31405-4519
Phone (912) 662-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, TX, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230501001897 GA Practitioner - Psychiatry 4183967961 Reassigns benefits to 1 organization
I20230606001209 CA Practitioner - Psychiatry 4183967961 Reassigns benefits to 2 organizations
I20230831002959 TX Practitioner - Psychiatry 4183967961 Reassigns benefits to 1 organization
I20241120001700 MO Practitioner - Psychiatry 4183967961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 270-1796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A185025CAMDPsychiatry Physician
10862GAMDPsychiatry Physician
U2561TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Psychcare LLC Psychiatry CurrentSince Nov 2, 2024 Accepting new patients
Gateway Behavioral Health Services CurrentSince Mar 1, 2023 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Mar 11, 2024 Accepting new patients
Telehealth Specialty Medical Group CurrentSince Apr 12, 2023 Accepting new patients
Gateway Community Service Board Current Accepting new patients
Specialty Clinic Medical Group, PLLC Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Neha Reshamwala MD PA PastSince Mar 1, 2012 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

6167 Bristol Pkwy
Ste 260
Culver City, CA 90230
Phone (424) 331-5604

17875 Von Karman Ave
Ste 150
Irvine, CA 92614
Phone (424) 532-5927

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

5924 Stoneridge Dr
Ste 210
Pleasanton, CA 94588
Phone (925) 223-6157

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

333 University Ave
Ste 200
Sacramento, CA 95825
Phone (707) 864-6860

9095 Rio San Diego Dr
Ste 250
San Diego, CA 92108
Phone (619) 272-0400

4040 Civic Center Dr
Ste 200
San Rafael, CA 94903
Phone (415) 795-8050

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023

601 E 66th St
Savannah, GA 31405
Phone (912) 503-9539

800 E 70th St
Savannah, GA 31405
Phone (912) 214-3314

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

2217 Park Bend Dr
Austin, TX 78758
Phone (916) 746-2343

2217 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 382-1933

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1376004556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 100B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-270-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 100B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-270-1796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E 66th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054519",
            "country_code": "US",
            "telephone_number": "912-662-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SITWAT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2023005024",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A185025",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "10862",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U2561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.