CRISTAL MALLAH MA
NPI 1154906469
Marriage & Family Therapist in Philadelphia, PA
About Cristal Mallah Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRISTAL MALLAH MA (NPI 1154906469) is an individual marriage & family therapist in Philadelphia, Pennsylvania, licensed in (MF001088) and active in the NPI registry since March 2021. She has opted out of Medicare through May 21, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Cristal Mallah Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 21, 2024 through May 21, 2028.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19110
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 Cristal Mallah's NPI number?
The NPI number for Cristal Mallah is 1154906469. It was assigned to this individual provider in the NPPES registry on March 17, 2021. The provider is also known as Mrs. Kristelle Mallah.
Where is Cristal Mallah located?
Cristal Mallah practices at 100 S Broad St Ste 1920, Philadelphia, PA 19110. The listed phone number is (267) 838-0066.
What is Cristal Mallah's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Cristal Mallah enrolled in Medicare?
No. Cristal Mallah has opted out of Medicare through May 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Cristal Mallah was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Cristal Mallah, MA · NPI 1154906469
Marriage & Family Therapist provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1154906469 (Entity type: Individual)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MF001088
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 S BROAD ST STE 1920, Philadelphia, PA 19110-1064
- **Phone:** (267) 838-0066
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 21, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154906469) · Data from the CMS NPPES public registry.