Active NPI
Malcolm Bernard Lilienthal Jr., MS
- Marriage & Family Therapist
- Hemet, CA
National Provider Identifier
1669972295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 101046
- Practice address
- 464 S Palm Ave
Hemet, CA 92543-4808 - Phone
- (951) 694-2072
- NPI assigned
- Feb 20, 2018
- Sex
- Male
- 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 | 101046 | CA | Primary |
Addresses
Primary practice location
464 S Palm Ave
Hemet, CA 92543-4808
Mailing address
765 Balsam Way
Hemet, CA 92545-6863
Phone (951) 694-2072
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101046 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1669972295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 BALSAM WAY",
"city": "HEMET",
"state": "CA",
"postal_code": "925456863",
"telephone_number": "951-694-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 S PALM AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434808",
"telephone_number": "951-694-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILIENTHAL",
"first_name": "MALCOLM",
"middle_name": "BERNARD",
"name_suffix": "Jr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-20",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.