Active NPI
Yaneque Y Malcolm, M,S
- Mental Health Counselor
- Sunrise, FL
National Provider Identifier
1801149885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH-8760
- Practice address
- 10001 W Oakland Park Blvd Ste 200
Sunrise, FL 33351-6925 - Phone
- (954) 825-1650
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH-8760 | FL | Primary |
Addresses
Primary practice location
10001 W Oakland Park Blvd Ste 200
Sunrise, FL 33351-6925
Mailing address
10001 W.Oakland Park Blvd Ste.200
Lternate Family Care
Sunrise, FL 33351
Phone (954) 825-1650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH-8760 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1801149885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 W.OAKLAND PARK BLVD STE.200",
"address_2": "LTERNATE FAMILY CARE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33351",
"telephone_number": "954-825-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 W OAKLAND PARK BLVD STE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516925",
"telephone_number": "954-825-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOLM",
"first_name": "YANEQUE",
"middle_name": "Y",
"name_prefix": "Miss",
"credential": "M,S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH-8760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.