Individual provider Active NPI

Haruna Kibundila Maliani, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1801414446
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN278416 Issued in MA
Practice address
30 Massachusetts Ave Ste 201
North Andover, MA 01845-3458
Phone
(617) 596-0601
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN278416 MA Primary

Addresses

Primary practice location

30 Massachusetts Ave Ste 201
North Andover, MA 01845-3458

Mailing address

PO Box 1715
Andover, MA 01810-0029
Phone (617) 596-0601

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

LicenseStateTypeSpecialty
RN278416MAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1801414446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1715",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018100029",
            "telephone_number": "617-596-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MASSACHUSETTS AVE STE 201",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018453458",
            "telephone_number": "617-596-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIANI",
        "first_name": "HARUNA",
        "middle_name": "KIBUNDILA",
        "name_prefix": "Mr.",
        "credential": "PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN278416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.