Active NPI
Timothy Malone, LMFT
- Marriage & Family Therapist
- San Luis Obispo, CA
National Provider Identifier
1922511989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 126356
- Practice address
- 1411 Marsh St Ste 201
San Luis Obispo, CA 93401-2968 - Phone
- (805) 931-6704
- NPI assigned
- Nov 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 126356 | CA | Primary |
Addresses
Primary practice location
1411 Marsh St Ste 201
San Luis Obispo, CA 93401-2968
Mailing address
1033 Pluto St
Nipomo, CA 93444-8926
Phone (805) 280-6280
Other practice location 1
290 E Gobbi St
Ukiah, CA 95482-5559
Phone (707) 463-3300 ext. 103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126356 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tim@tmalonetherapy.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1922511989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 PLUTO ST",
"city": "NIPOMO",
"state": "CA",
"postal_code": "934448926",
"telephone_number": "805-280-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 MARSH ST STE 201",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012968",
"telephone_number": "805-931-6704"
}
],
"practiceLocations": [
{
"address_1": "290 E Gobbi St",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954825559",
"country_code": "US",
"telephone_number": "707-463-3300 x103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "TIMOTHY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-13",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "126356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "126356",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tim@tmalonetherapy.com",
"affiliation": "N",
"endpointDescription": "Primary Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1411 Marsh St Ste 201",
"city": "San Luis Obispo",
"state": "CA",
"country_code": "US",
"postal_code": "934012968",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.