Organization Active NPI

Malakuti Psychological Health Group Inc

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1629427646
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26550 Issued in CA
Legal business name
MALAKUTI PSYCHOLOGICAL HEALTH GROUP INC
Practice address
9171 Wilshire Blvd Ste 660
Beverly Hills, CA 90210-5540
Phone
(424) 645-7793
Fax
(310) 273-1010
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Dr. Katrin Malakuti, PSY.D.
Title
Owner
Phone
(424) 645-7793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY26550 CA Primary

Addresses

Primary practice location

9171 Wilshire Blvd Ste 660
Beverly Hills, CA 90210-5540

Mailing address

9171 Wilshire Blvd Ste 660
Beverly Hills, CA 90210-5540
Phone (424) 645-7793

Other identifiers 1

IdentifierTypeStateIssuer
CB226632MedicaidCA

Other names 1

  • Katrin Malakuti Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1629427646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD STE 660",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105540",
            "telephone_number": "424-645-7793",
            "fax_number": "310-273-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 WILSHIRE BLVD STE 660",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105540",
            "telephone_number": "424-645-7793",
            "fax_number": "310-273-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAKUTI PSYCHOLOGICAL HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "MALAKUTI",
        "authorized_official_first_name": "KATRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-645-7793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB226632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katrin Malakuti",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.