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MR. JONATHAN MALICDEM
NPI 1619276276
Counselor in Sacramento, CA

Active since March 22, 2011
4612 ROOSEVELT AVE, SACRAMENTO, CA 95820(916) 457-3129 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2020, Nov 8, 2019 (2 updates tracked since 2019).

About Mr. Jonathan Malicdem NPPES

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

MR. JONATHAN MALICDEM (NPI 1619276276) is an individual counselor in Sacramento, California and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1619276276
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JONATHAN MALICDEM
Location Address4612 ROOSEVELT AVESacramento, CA 95820-4520
Mailing Address4612 Roosevelt AveSacramento, CA 95820-4520
Phone(916) 457-3129
Sole ProprietorNo
Enumeration DateMarch 22, 2011
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1619276276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4612 ROOSEVELT AVE, Sacramento, CA 95820
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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.

JONELLE HUSTON
Licensed Psychiatric Technician
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 379-5876
FRANCES CHRISTINE BROWN
Social Worker (Clinical)
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 379-5876
EUNICE MONYE
Community Health Worker
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 379-5876
MS. VALERIE ANN MOSIER LVN
Licensed Vocational Nurse
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 379-5876
BINTU SIA SORIE
Licensed Psychiatric Technician
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 379-5876
TIA DALIPE
Technician, Pathology (Phlebotomy)
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 457-3129
CHER LYNCH
Licensed Psychiatric Technician
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 379-5876
KELSEA S DAY TRAWEEK
Student in an Organized Health Care Education/Training Program
4612 ROOSEVELT AVE
SACRAMENTO, CA 95820
Sacramento County (916) 379-5876

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 Jonathan Malicdem's NPI number?

The NPI number for Jonathan Malicdem is 1619276276. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Jonathan Malicdem located?

Jonathan Malicdem practices at 4612 Roosevelt Ave, Sacramento, CA 95820. The listed phone number is (916) 457-3129.

What is Jonathan Malicdem's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Malicdem was last updated on September 2, 2020. 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.