Colleen Mullen, PSYD., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43476 Issued in CA

Legal business name

COLLEEN MULLEN, PSYD., LMFT

Practice address

2535 Camino del Rio S
Suite 355
San Diego, CA 92108-3754

Phone

(619) 702-5571

NPI assigned

Jan 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Mullen, PSYD, LMFT

Title

Owner

Phone

(619) 702-5571

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coaching Through Chaos Doing business as

Locations

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454112000000",
    "number": "1063870491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S",
            "address_2": "SUITE 355",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083754",
            "telephone_number": "619-702-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CAMINO DEL RIO S",
            "address_2": "SUITE 355",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083754",
            "telephone_number": "619-702-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN MULLEN, PSYD., LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-01-30",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-702-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1548342249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coaching Through Chaos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.