Individual provider Active NPI

Adam Malik, DO

  • Psychiatry Physician
  • Ontario, CA
National Provider Identifier
1407434665
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A24824 Issued in CA
Practice address
3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Phone
(909) 789-0260
Fax
(909) 789-0224
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A24824 CA Primary
Psychiatry Physician 2084P0800X OS023096 PA

Addresses

Primary practice location

3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661

Mailing address

6 High Meadow Rd
Goshen, NY 10924-5330
Phone (845) 238-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, DC, WA4 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
I20250818000009 PA Practitioner - Psychiatry 4981062759 Reassigns benefits to 1 organization
I20251209000476 VA Practitioner - Psychiatry 4981062759 Reassigns benefits to 1 organization
I20260312000483 DC Practitioner - Psychiatry 4981062759 Reassigns benefits to 1 organization
I20260520000237 WA Practitioner - Psychiatry 4981062759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connectionspa LLCGroup PAC ID 3971038373, 13 clinicians
Connections Healthva LLCGroup PAC ID 5991241986, 19 clinicians

Practice addresses (Care Compare)

1100 S Cameron St
Suite 2
Harrisburg, PA 17104-2547
Phone (717) 408-1353

14011 Worth Ave
Suite 130And150
Woodbridge, VA 22192-4123
Phone (703) 543-9948

14554 Lee Rd
Chantilly, VA 20151-1775
Phone (703) 543-9948

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A2484CAMDPsychiatry Physician
OS023096PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Healthva, LLC CurrentSince Feb 3, 2026 Accepting new patients
Connections Healthva, LLC CurrentSince Sep 25, 2025 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Aug 5, 2026 Accepting new patients
Connectionspa LLC CurrentSince Jun 5, 2025 Accepting new patients
Connections Healthva, LLC CurrentSince Sep 25, 2025 Accepting new patients
Connectionspa LLC Psychiatry CurrentSince Jun 5, 2025 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

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

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

1050 Lakes Dr
Ste 225
West Covina, CA 91790
Phone (323) 215-9491

1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353

14554 Lee Rd
Chantilly, VA 20151
Phone (703) 543-9948

14011 Worth Ave
Ste 130150
Woodbridge, VA 22192
Phone (703) 543-9948

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1407434665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HIGH MEADOW RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245330",
            "telephone_number": "845-238-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "909-789-0260",
            "fax_number": "909-789-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ADAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A24824",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS023096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.