Thomas Andrew Malia, LCP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071010068 Issued in IL

Practice address

10 W Phillip Rd Ste 114
Vernon Hills, IL 60061-1730

Phone

(224) 707-4321

NPI assigned

Aug 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Growth Psychological Services Evaluations PLLC

  • Psychologist
  • Libertyville, IL
  • NPI 1427851948
  NPD Authorized official
• Growth Psychological Services, PLLC

  • Psychologist
  • Vernon Hills, IL
  • NPI 1710539259
  NPD Authorized official
• Western Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Anaheim, CA
  • NPI 1770617987
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1801229364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MARION AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W PHILLIP RD STE 114",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611730",
            "telephone_number": "224-707-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIA",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "credential": "LCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071010068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arvind J Madhani, MD
• Jennifer Rose Madison, PT, MPT
• Maria Mae, PT
• Bianca P Mahoney, DPT, PT
• Nina Isabella Malhotra
• Grace Mandujano, LCSW
• Nicholas W. Marchand, LCPC
• Matthew Jay Marder, LCSW
• Margot Maresky, PT
• Margot Maresky PC

• Psychologist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.