Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Faryal J Mallick, MD

Individual provider Psychiatry Physician · NPI 1962865097

Faryal J Mallick, MD is a Psychiatry in Tampa, Florida. Qualified in 2009, 17 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Kentucky.

Years since qualifying
17
Licensed in
FL, KY
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14003 N Dale Mabry Hwy Ste C
Tampa, FL 33618-2459
Phone: (813) 461-7797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 439 Sw Michigan St, Lake City, FL 32025-0440 — (386) 487-0800
  • 401 E Chestnut St, Louisville, KY 40202-5700 — (502) 588-4865
  • 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 — (270) 417-3772

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence ME140149 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence TP944 (KY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 51944 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962865097
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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