DR. MARY L MALIK PHD
NPI 1053328823
Psychologist in San Luis Obispo, CA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
1110 CALIFORNIA BLVD STE A, SAN LUIS OBISPO, CA 93401(805) 541-2490 Get Directions Write a Review

NPPES record last updated: August 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2019, Aug 2, 2018 (2 updates tracked since 2018).

About Dr. Mary L Malik Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY L MALIK PHD (NPI 1053328823) is an individual psychologist in San Luis Obispo, California, licensed in California (PSY19861) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053328823
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY L MALIKCredential: PHD
Location Address1110 CALIFORNIA BLVD STE ASan Luis Obispo, CA 93401-2970
Mailing Address1110 California Blvd Ste ASan Luis Obispo, CA 93401-2970 · (805) 541-2490
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 17, 20192 updates tracked since enumeration
NPI 1053328823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY19861
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1110 CALIFORNIA BLVD STE A, San Luis Obispo, CA 93401

Other Identifiers 1

OtherOPL198610CA · Blue Shield Of Ca Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary L Malik Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840255105
PECOS Enrollment IDI20041129000330
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
283 services21 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Malik's NPI number?

The NPI number for Mary Malik is 1053328823. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Mary Malik located?

Mary Malik practices at 1110 California Blvd Ste A, San Luis Obispo, CA 93401. The listed phone number is (805) 541-2490.

What is Mary Malik's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Malik enrolled in Medicare?

Yes. Mary Malik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Malik was last updated on August 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.