Malabar Counseling Group LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MALABAR COUNSELING GROUP LLC

Practice address

1296 McLendon Ave NE
Atlanta, GA 30307-2088

Phone

(770) 490-2164

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Jacob

Title

President

Phone

(770) 490-2164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1881405850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 MCLENDON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072088",
            "telephone_number": "770-490-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 MCLENDON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072088",
            "telephone_number": "770-490-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALABAR COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-490-2164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babak Robert Maknoon, RD
• Brenna Margaret Mako, PA-C
• Hans Makolo, FNP-BC
• Joseph Makris, M.D.
• Bhavin Makvana
• Allison Malafronte, R.N.
• Robert Bradley Malamis, MD
• Marisa Leigh Malan
• Julia Ash Malatos, PT
• Hector A Malave, MD

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.