Melvin Malak Jr.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

6913 Williamsburg Dr
Sylvania, OH 43560-3256

Phone

(419) 450-0574

NPI assigned

Jan 4, 2023

Sex

Male

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

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1376256347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 WILLIAMSBURG DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603256",
            "telephone_number": "419-450-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 WILLIAMSBURG DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603256",
            "telephone_number": "419-450-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAK",
        "first_name": "MELVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Luther, MA CCC-SLP
• Mackenzie Mae Lynch, COTA/L
• David Macari, M.D.
• Molly P Mackner-Keirstead, LPTA, BAC
• Jennifer Madasz, APRN- CNP
• Danielle Malczewski
• Paris L Malin, DPM
• David Mallory, MD
• Sundu Mansary
• Marie Medical Transport LLC

• Developmental Disabilities Clinic/Center in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Developmental Disabilities Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.