Active NPI
Jennie S Malek, M.A., MFT
- Marriage & Family Therapist
- Westminster, CA
National Provider Identifier
1598095994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 61189
- Practice address
- 14140 Beach Blvd
Suite 155
Westminster, CA 92683-4453 - Phone
- (714) 896-7556
- NPI assigned
- Jan 6, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 61189 | CA | Primary |
Addresses
Primary practice location
14140 Beach Blvd
Suite 155
Westminster, CA 92683-4453
Mailing address
PO Box 954
Seal Beach, CA 90740-0954
Phone (626) 665-2067
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61189 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1598095994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 954",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907400954",
"telephone_number": "626-665-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14140 BEACH BLVD",
"address_2": "SUITE 155",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834453",
"telephone_number": "714-896-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK",
"first_name": "JENNIE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "M.A., MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "61189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.