Organization Active NPI

Malik Salaam Muhammad

  • Health Psychologist
  • Durham, NC
National Provider Identifier
1982989950
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
4438 Issued in NC
Legal business name
MALIK SALAAM MUHAMMAD
Practice address
405 Guy Walker Way
Durham, NC 27703
Phone
(800) 984-3167
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Dr. Malik Muhammad
Title
Owner
Phone
(619) 218-4637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 4091 NC
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X 4438 NC Primary

Addresses

Primary practice location

405 Guy Walker Way
Durham, NC 27703

Mailing address

405 Guy Walker Way
Durham, NC 27703-3788
Phone (800) 984-3167

Other identifiers 1

IdentifierTypeStateIssuer
6107694MedicaidNC

National Provider Directory

National Provider Directory

Locations

400 W Peachtree St NW
Ste 4756
Atlanta, GA 30308
Phone (800) 984-3167

20 W Colony Pl
Ste 280
Durham, NC 27705
Phone (619) 218-4637

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1982989950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GUY WALKER WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033788",
            "telephone_number": "800-984-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GUY WALKER WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27703",
            "telephone_number": "800-984-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIK SALAAM MUHAMMAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-218-4637",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4091",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "NC",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.