Joseph Malancharuvil, PH.D.,a Psych Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY8026 Issued in CA

Legal business name

JOSEPH MALANCHARUVIL, PH.D.,A PSYCH CORPORATION

Practice address

2048 N Waterman Ave
San Bernardino, CA 92404-4835

Phone

(951) 347-3765

Fax

(909) 881-3765

NPI assigned

Feb 23, 2015

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

JOSEPH MALANCHARUVIL, PH.D.,A PSYCH CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Joseph M Malancharuvil, PH.D., ABPP

Title

Psychologist

Phone

(951) 347-3765

Specialties & licenses 1

Addresses

Part of

Joseph Malancharuvil Phda Psych Corporation

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1699167098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044835",
            "telephone_number": "951-347-3765",
            "fax_number": "909-881-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044835",
            "telephone_number": "951-347-3765",
            "fax_number": "909-881-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MALANCHARUVIL, PH.D.,A PSYCH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH MALANCHARUVIL, PH.D.,A PSYCH CORPORATION",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "MALANCHARUVIL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "951-347-3765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY8026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Enas Joseph, MSW LCSW
• Biswas Joshi, M.D.
• Joy Bells Inc (fisher manor 2)

• Community/Behavioral Health Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.