John L Mahalik, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0002926 Issued in CO

Practice address

3636 S Pearl St
Englewood, CO 80113-3806

Phone

(888) 365-6271

NPI assigned

Apr 16, 2020

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1568081867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8368 E JAMISON CIR S",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122752",
            "telephone_number": "720-402-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 S PEARL ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133806",
            "telephone_number": "888-365-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALIK",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0002926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary A Maerz, MD
• Sallie Magee
• Megan Elizabeth Magel, MA, LPC
• Mark Edward John Magner, M.D.
• Hailey Mahaffey
• Jared Mahan, M.D.
• Winston Stevenson Mahler, RN
• Omnia Mahmoud
• Rhae Ellen Majerowski, D.C.
• Courtney Jeanne Majewski, FNP-BC

• Clinical Psychologist in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.