Organization Active NPI

Muk Psychiatry PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malden, MA
National Provider Identifier
1841166287
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MUK PSYCHIATRY PLLC
Practice address
75 Pleasant St # 359
Malden, MA 02148-4906
Phone
(617) 701-4817
Fax
(617) 655-9049
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Peter Galiwango, NPNPI 1710728050
Title
Manager
Phone
(617) 701-4817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

75 Pleasant St # 359
Malden, MA 02148-4906

Mailing address

75 Pleasant St # 359
Malden, MA 02148-4906
Phone (617) 701-4817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251121002118 MA Part B Supplier - Clinic/Group Practice 2567954100 Receives reassigned benefits from 1 practitioner
Practice locations: Malden, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1841166287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PLEASANT ST # 359",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484906",
            "telephone_number": "617-701-4817",
            "fax_number": "617-655-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PLEASANT ST # 359",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484906",
            "telephone_number": "617-701-4817",
            "fax_number": "617-655-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUK PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GALIWANGO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-701-4817",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.