TANISHA MALCOM
NPI 1386301778
Peer Specialist in Brooklyn, NY

Active since November 20, 2021
2928 W 36TH ST, BROOKLYN, NY 11224(718) 372-3300 Get Directions Write a Review

NPPES record last updated: November 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanisha Malcom NPPES

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

TANISHA MALCOM (NPI 1386301778) is an individual peer specialist in Brooklyn, New York and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1386301778
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTANISHA MALCOM
Location Address2928 W 36TH STBrooklyn, NY 11224-1410
Mailing Address2928 W 36th StBrooklyn, NY 11224-1410
Sole ProprietorYes
Enumeration DateNovember 20, 2021
NPPES CertifiedNovember 17, 2021
NPI 1386301778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2928 W 36TH ST, Brooklyn, NY 11224

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2928 W 36TH ST
BROOKLYN, NY 11224
Student in an Organized Health Care Education/Training Program
2928 W 36TH ST
BROOKLYN, NY 11224
Counselor (School)
2928 W 36TH ST
BROOKLYN, NY 11224
Counselor (Mental Health)
2928 W 36TH ST
BROOKLYN, NY 11224
Student in an Organized Health Care Education/Training Program
2928 W 36TH ST
BROOKLYN, NY 11224
Counselor (Mental Health)
2928 W 36TH ST
BROOKLYN, NY 11224
Social Worker (Clinical)
2928 W 36TH ST
BROOKLYN, NY 11224
Social Worker
2928 W 36TH ST
BROOKLYN, NY 11224

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 Tanisha Malcom's NPI number?

The NPI number for Tanisha Malcom is 1386301778. It was assigned to this individual provider in the NPPES registry on November 20, 2021.

Where is Tanisha Malcom located?

Tanisha Malcom practices at 2928 W 36th St, Brooklyn, NY 11224. The listed phone number is (718) 372-3300.

What is Tanisha Malcom's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tanisha Malcom was last updated on November 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.