Active NPI
Malia Sanchez, PSY.D.
- Clinical Psychologist
- San Jacinto, CA
National Provider Identifier
1437452422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30286
- Practice address
- 1355 Exeter CT
San Jacinto, CA 92583-6830 - Phone
- (949) 229-1314
- NPI assigned
- Dec 13, 2010
- Last updated
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30286 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Rehabilitation Practitioner | 225400000X | NU |
Addresses
Primary practice location
1355 Exeter CT
San Jacinto, CA 92583-6830
Mailing address
1355 Exeter CT
San Jacinto, CA 92583-6830
Phone (323) 632-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaitlyn Kuo and Associates Psychology Corp | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Soulidarity Therapy
- Clinical Psychologist
- Laguna Beach, CA
- NPI 1326632951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1437452422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 EXETER CT",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925836830",
"telephone_number": "323-632-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 EXETER CT",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925836830",
"telephone_number": "949-229-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "MALIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2022-10-20",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30286",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.