Individual provider Active NPI

Simarbir Kaur Malhi-Jandu

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1508927096
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48849 Issued in CA
Practice address
3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone
(559) 252-6844
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 48849 CA Primary

Addresses

Primary practice location

3894 E Gettysburg Ave
Fresno, CA 93726-0901

Mailing address

6569 N Riverside Dr Ste 102 Box 102
Fresno, CA 93722

Other names 1

  • Mrs. Simarbir Kaur Malhi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48849CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Group Homes, Inc. CurrentSince Oct 2, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1508927096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N RIVERSIDE DR STE 102 BOX 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3894 E GETTYSBURG AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260901",
            "telephone_number": "559-252-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHI-JANDU",
        "first_name": "SIMARBIR",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMARBIR",
            "last_name": "MALHI",
            "middle_name": "KAUR",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.