Active NPI
Malia Weber-Parker
- Psychiatric/Mental Health Nurse Practitioner
- Marlborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11030507
- Practice address
- 771 Boston Post Rd E Ste 11
Marlborough, MA 01752-3759 - Phone
- (508) 593-1774
- NPI assigned
- Feb 4, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11030507 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9959 | CT | |
| Family Nurse Practitioner | 363LF0000X | RN2293316 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2293316 | MA |
Addresses
Primary practice location
771 Boston Post Rd E Ste 11
Marlborough, MA 01752-3759
Mailing address
75409 Fox Cross Ave
Yulee, FL 32097-0155
Phone (413) 205-7405
Other practice location 1
76020 William Burgess Blvd
Yulee, FL 32097-5489
Phone (413) 205-7405
Other names 1
- Malia Samuelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
75644 Edwards Rd
Suite 32097
Yulee, FL 32097-0616
76020 William Burgess Blvd
Unit 5
Yulee, FL 32097-5490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11030507 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN2293316 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Mental Health and Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
| Psych Wellness Group, Inc. | Current | Accepting new patients | |
| Allergy and Immunology Associates of New England, LLC | Current | Accepting new patients |
Locations
1890 S 14th St
Ste 110
Fernandina Beach, FL 32034
Phone (904) 556-7242
771 Boston Post Rd E
Ste 11
Marlborough, MA 01752
Phone (508) 233-9314
269 Locust St
Ste 108
Northampton, MA 01062
Phone (413) 586-0769
269 Locust St
Ste 201
Northampton, MA 01062
Phone (413) 584-4010
1362 Westfield St
West Springfield, MA 01089
Phone (904) 849-0889
Interoperability endpoints
- malia.weber-parker.1@26450.direct.athenahealth.com
- https://api.platform.athenahealth.com/26450/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fernandina Beach, FL
- NPI 1053274670
MA
-
- Allergy & Immunology Physician
- Florence, MA
- NPI 1538574082
-
- Nurse Practitioner
- Westfield, MA
- NPI 1750027249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1548725559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75409 FOX CROSS AVE",
"city": "YULEE",
"state": "FL",
"postal_code": "320970155",
"telephone_number": "413-205-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 BOSTON POST RD E STE 11",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523759",
"telephone_number": "508-593-1774"
}
],
"practiceLocations": [
{
"address_1": "76020 William Burgess Blvd",
"address_purpose": "LOCATION",
"city": "Yulee",
"state": "FL",
"postal_code": "320975489",
"country_code": "US",
"telephone_number": "413-205-7405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER-PARKER",
"first_name": "MALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11030507",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "9959",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2293316",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2293316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALIA",
"last_name": "SAMUELSON",
"credential": "RN, FNP, PMHNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.