Mohammad S Mallick MD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

27719 Issued in WI

Legal business name

MOHAMMAD S MALLICK MD LLC

Practice address

1525 Liberty CT
Brookfield, WI 53045-5327

Phone

(262) 646-6280

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Mary K Duchin

Title

Manager

Phone

(262) 646-6280

Specialties & licenses 1

Addresses

Tax ID family

Mohammad Mallick MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mohammad Mallick, MD, LLC

  • Psychiatric Hospital Unit
  • Brookfield, WI
  • NPI 1629221502
  NPD tax ID

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1407048481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LIBERTY CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455327",
            "telephone_number": "262-646-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LIBERTY CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455327",
            "telephone_number": "262-646-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD S MALLICK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "DUCHIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-646-6280"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "27719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Audiology Associates, P.C.
• Mobile Dental Centers of Wisconsin Inc
• Rhoda Moeller, MSW
• Neal Ethan Moglowsky, M.S., L.P.C.
• Mohammad Mallick, MD, LLC
• Katherine O Molling, PT
• Sandra Christie Moloney, P.T.
• Amirah Moore
• Grace Moore
• Megan Moore

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.