Individual provider Active NPI

Malena Banks, M.D.

  • Child & Adolescent Psychiatry Physician
  • Washington, DC
National Provider Identifier
1801054374
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD038735 Issued in DC
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

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Psychiatry & Neurology) Physician 2084P0301X MD038735 DC
Community/Behavioral Health Agency 251S00000X MD038735 DC
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
098715900MedicaidDC

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

LicenseStateTypeSpecialty
MD038735DCMDBrain Injury Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus the Center for Behavioral Health and Wellness Brain Injury Medicine CurrentSince Aug 23, 2020 Accepting new patients
D.C. Department of Behavioral Health Community/Behavioral Health PastSince May 29, 2022 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.

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.

Verify at the official NPI Registry.