Deirdre Mary Mullen, CRNA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403464 Issued in NY

Practice address

95 Grasslands Rd
Valhalla, NY 10595-1646

Phone

(914) 493-7693

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beacon Place LLC

  • Adult Day Care Clinic/Center
  • Highland Mills, NY
  • NPI 1326429630
  Medicare reassignment NPD
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD (past)
• Orange Anesthesia Services P.C..

  • Anesthesiology Physician
  • Middletown, NY
  • NPI 1760434690
  NPD (past)
• Valhalla Anesthesia Associates, PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1124070800
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1013012525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINE ST",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621327",
            "telephone_number": "845-398-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951646",
            "telephone_number": "914-493-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "DEIRDRE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Mudambi, M.B.,B.S.
• Oliver Hans-Josef Hans-Josef Muensterer, MD, PHD
• Carrie R Muh, M.D., M.S.
• Sara Abdelrahem Ali Muhammad, MD
• Sarah Muharomah, MD
• Arif Mumtaz, MD
• Izza Muneer, MD
• Stephanie Munnick, PA-C
• Luis Carlos Munoz, PHYSICIAN ASSISTANT
• Monica Catrina Mureb, DO

• Psychiatric/Mental Health Nurse Practitioner in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.