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

Mr. Jonathan Malicdem

Individual provider Mental Health Counselor · NPI 1619276276

Mr. Jonathan Malicdem is a Mental Health Counselor in Sacramento, California. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

4612 Roosevelt Ave
Sacramento, CA 95820-4520
Phone: (916) 457-3129
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1619276276
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2011
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

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