Fareen Malik, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A110658 Issued in CA

Practice address

4425 W Olive Ave # 200
Glendale, AZ 85302-3843

Phone

(602) 685-6000

Fax

(602) 930-0358

NPI assigned

Aug 11, 2006

Last updated

Apr 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1649282609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE # 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023843",
            "telephone_number": "602-685-6000",
            "fax_number": "602-930-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "FAREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "42863",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494733",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sepideh Malekpour, DDS
• Tannaz Zahra Malekzadeh, DMD
• Devika Malhotra, MD
• Rahul Malhotra, MD
• Makala Malichi
• Sara Malik, MD
• Malinka Care PLLC
• Derenz Guarino Mallari
• Alicia Mallery
• Malone Chiropractic PC

• Psychiatry Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.