Mariam Malika Halstead, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10781-C Issued in NV

Practice address

1350 Grand Summit Dr Apt 140
Reno, NV 89523-2558

Phone

(775) 453-6898

NPI assigned

Jul 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Psychology Associates LLCGroup PAC ID 6204180284, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Psychology Associates LLC

  • Marriage & Family Therapist
  • Reno, NV
  • NPI 1366836702
  Medicare reassignment Care Compare group NPD
• G D Shoenberger, Inc.

  • Clinical Psychologist
  • Reno, NV
  • NPI 1487999579
  NPD

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1720765688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 GRAND SUMMIT DR APT 140",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 GRAND SUMMIT DR APT 140",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232558",
            "telephone_number": "775-453-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "MARIAM",
        "middle_name": "MALIKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10781-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Walker Hall Jr., M.D.
• Cynthia Hallam
• Steven Campbell Hallan, PT
• Melinda Hallaran, LCSW
• Brenda Hallman
• Desirae Halterman
• Timothy Eric Halterman, MD
• Janell Halverson
• Candace G Halvorsen, CRNFA
• Nikki Danielle Hamada

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.