Anthony James Mallia, MSCP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10235 Issued in SC

Practice address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Phone

(248) 712-4266

NPI assigned

Dec 3, 2020

Reactivated

Jan 16, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1861097156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HOOP POLE CREEK DR",
            "city": "ATLANTIC BEACH",
            "state": "NC",
            "postal_code": "285125812",
            "telephone_number": "248-396-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD STE 205",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252454",
            "telephone_number": "248-712-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIA",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MSCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "deactivation_date": "2025-01-09",
        "reactivation_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "10235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Rose Malewski
• Eshani Malhotra
• Rushdah Saeed Malik, M.D.
• Zoya Malik, MA
• Meghana Mallavaram
• Miranda Taylor Maloian, BA, EMT-B
• Toya Malone
• Melissa Malseed
• Nicolina Marie Mannino
• Emily Manoogian, MA, LLPC, NCC

• Mental Health Counselor in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.