FARYAL J MALLICK (MD) – Child & Adolescent Psychiatry Physician, NPI 1962865097
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for FARYAL J MALLICK (MD)
14003 N DALE MABRY HWY STE C
TAMPA, FL 336182459
Phone: (813) 461-7797
Type: Location
PO BOX 23229
OWENSBORO, KY 423043229
Phone: (270) 688-1330
Fax: (270) 688-1338
Type: Mailing
439 SW Michigan St
Lake City, FL 320250440
Phone: (386) 487-0800
Type: Location
1201 Pleasant Valley Rd
Owensboro, KY 423039811
Phone: (270) 417-3772
Fax: (270) 417-3709
Type: Location
401 E Chestnut St
STE 600
Louisville, KY 402025700
Phone: (502) 588-4865
Fax: (502) 588-4427
Type: Location
10006 CROSS CREEK BLVD STE 124
TAMPA, FL 336472595
Phone: (813) 461-7707
Type: Mailing
UF Health Springhill II, 4197, Northwest 86th Terrace, Gainesville, Alachua County, Florida, 32606, United States
GAINESVILLE, FL 326069278
Phone: (352) 265-8886
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $623.
Total Amount is formed as General ($623) + Research ($0) + Ownership ($0) = $623.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($240).
Total Amount
$623
General + Research + Ownership
Payments
6
Total payment records
General Amount
$623
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $240 |
| IDORSIA PHARMACEUTICALS US INC | $124 |
| Neos Therapeutics, LP | $122 |
| ABBVIE INC. | $118 |
| Indivior Inc. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220606001299 | I | Psychiatry | FL | TBD |
| I20250605003907 | I | Psychiatry | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| H O S P I T A L I S T | WV | |
| - | PA | |
| G A S T R O E N T E R O L O G Y | VA | |
| General Surgery | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA |
Reviews
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