Individual provider Active NPI

Mala Wheatley, MFT

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1811021686
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0766 Issued in NV
Practice address
601 Moana Lane
Suite 9
Reno, NV 89509-4949
Phone
(775) 433-2099
Fax
(775) 433-1572
NPI assigned
Mar 15, 2007
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0766 NV Primary

Addresses

Primary practice location

601 Moana Lane
Suite 9
Reno, NV 89509-4949

Mailing address

601 Moana Lane
Suite 9
Reno, NV 89509-4949
Phone (775) 433-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125004692 NV Practitioner - Marriage and Family Therapist 3971844408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Behavioral HealthGroup PAC ID 2860738507, 3 clinicians

Practice addresses (Care Compare)

601 W Moana LN
Suite 9
Reno, NV 89509-4959
Phone (775) 433-2099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0766NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Behavioral Health CurrentSince Feb 1, 2019 Accepting new patients

Locations

601 W Moana Ln
Ste 9
Reno, NV 89509
Phone (775) 287-8270

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1811021686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MOANA LANE",
            "address_2": "SUITE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094949",
            "telephone_number": "775-433-2099",
            "fax_number": "775-433-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MOANA LANE",
            "address_2": "SUITE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094949",
            "telephone_number": "775-433-2099",
            "fax_number": "775-433-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "MALA",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.