Active NPI
Malena Banks, M.D.
- Child & Adolescent Psychiatry Physician
- Washington, DC
National Provider Identifier
1801054374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD038735
- Practice address
- 401 15TH St SE Unit 100-C
Washington, DC 20003-3042 - Phone
- (202) 370-6872
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | MD038735 | DC | |
| Community/Behavioral Health Agency | 251S00000X | MD038735 | DC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD038735 | DC | Primary |
Addresses
Primary practice location
401 15TH St SE Unit 100-C
Washington, DC 20003-3042
Mailing address
56 Daimler Dr
Capitol Heights, MD 20743-2757
Phone (202) 370-6872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098715900 | Medicaid | DC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD038735 | DC | MD | Brain Injury Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus the Center for Behavioral Health and Wellness | Brain Injury Medicine | Current | Accepting new patients |
| D.C. Department of Behavioral Health | Community/Behavioral Health | Past | Accepting new patients |
Locations
50 E St SE
Ste 300
Washington, DC 20003
Phone (202) 342-9287
401 15th St SE
Unit 100C
Washington, DC 20003
Phone (202) 370-6872
Organizations & group practices 2
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.
-
- Child & Adolescent Psychiatry Physician
- Washington, DC
- NPI 1093291726
Brain Injury Medicine
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1871634170
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1801054374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 DAIMLER DR",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207432757",
"telephone_number": "202-370-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 15TH ST SE UNIT 100-C",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033042",
"telephone_number": "202-370-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "MALENA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0301X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": "DC",
"license": "MD038735",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "DC",
"license": "MD038735",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "DC",
"license": "MD038735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098715900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.