MALIKSHABAZZ OWENS (NPI# 1447718804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447718804 |
| Entity Type | Individual |
| Full Name | MALIKSHABAZZ OWENS |
| Practice Address |
1002 Pico Blvd Santa Monica CA 90405-1416 |
| Mailing Address |
14825 Cranbrook Ave Hawthorne CA 90250-8415 |
| Practice Telephone | 8664525273 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1002 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063878510 | Clare Matrix | Community/Behavioral Health | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2016-01-13 |
| 1902406705 | Erendira Martinez | Community/Behavioral Health | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2020-10-30 |
| 1205441219 | Shannon Yvvette Wright | Counselor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2020-09-15 |
| 1477187151 | Michelle Khlok | Case Manager/Care Coordinator | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2020-03-03 |
| 1487289161 | Latasha Denise Joyner | Case Manager/Care Coordinator | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2020-03-03 |
| 1962055350 | Renissa Robinson | Student in an Organized Health Care Education/Training Program | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2019-07-24 |
| 1457816894 | Barbara Zoe Rhoades | Social Worker | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2019-02-08 |
| 1598229049 | Jolan Dawson | Case Manager/Care Coordinator | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2019-01-29 |
| 1356813315 | Wayman Alexander Cooley Sr. | Contractor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2018-12-31 |
| 1104305606 | Geneva Sharee Austin | Counselor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1861031726 | Christian Joshua Talam | Counselor | 1865 9th Strret, Santa Monica, CA 90404-1324 | 2019-12-24 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1669792065 | Byron Williams | Counselor | 1865 9th Street, Santa Monica, CA 90404-4501 | 2010-06-08 |
| 1013242692 | Stephen S Reeder | Counselor | 2121 Cloverfield Blvd Ste 131, Santa Monica, CA 90404-5277 | 2009-10-15 |
| 1689830358 | Nadia Judith Bijaoui | Counselor | 100 Wilshire Blvd, Suite 940, Santa Monica, CA 90401-1110 | 2008-08-01 |
| 1982205985 | Gabrielle Anne Mayer | Counselor | 1865 9th St, Santa Monica, CA 90405 | 2020-11-05 |
| 1588270318 | Samantha Michole Tart | Counselor | 1869 9th Street, Santa Monica, CA 90405 | 2020-09-17 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.