Active NPI
Mollie Frances Mulholland, PSYD
- Clinical Psychologist
- Fort Harrison, MT
National Provider Identifier
1023590296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 090107
- Practice address
- 3687 Veterans Dr
Fort Harrison, MT 59636-9700 - Phone
- (406) 442-6410
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 090107 | IA | Primary |
Addresses
Primary practice location
3687 Veterans Dr
Fort Harrison, MT 59636-9700
Mailing address
635 Legend Loop Apt 203
Helena, MT 59602-8636
Phone (319) 450-5535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090107 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1023590296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 LEGEND LOOP APT 203",
"city": "HELENA",
"state": "MT",
"postal_code": "596028636",
"telephone_number": "319-450-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3687 VETERANS DR",
"city": "FORT HARRISON",
"state": "MT",
"postal_code": "596369700",
"telephone_number": "406-442-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHOLLAND",
"first_name": "MOLLIE",
"middle_name": "FRANCES",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "090107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Harrison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.