NPIMap

Individual provider Active NPI

Kevin Henry Mullarky, MD

  • Psychiatry Physician
  • Biddeford, ME
National Provider Identifier
1083723068
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD12722 Issued in ME
Practice address
22 W Cole Rd
C
Biddeford, ME 04005-9430
Phone
(207) 284-0176
Fax
(207) 286-8792
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD12722 ME Primary

Addresses

Primary practice location

22 W Cole Rd
C
Biddeford, ME 04005-9430

Mailing address

22 W Cole Rd
C
Biddeford, ME 04005-9430
Phone (207) 284-0176

Other identifiers 1

IdentifierTypeStateIssuer
13204000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226001126 ME Practitioner - Psychiatry 3577459320 Reassigns benefits to 2 organizations
Practice locations: Arundel, ME

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 26, 2019 Accepting new patients
Mainehealth CurrentSince Jan 26, 2019 Accepting new patients
Mainehealth CurrentSince May 25, 2007 Accepting new patients
Webber Hospital Association CurrentSince May 25, 2007 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients
Maine Behavioral Healthcare Past Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654

474 Main St
Springvale, ME 04083
Phone (207) 324-1500

Interoperability endpoints

  • Direct secure messaging: kmullarky160567@direct.mmc.mainehealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1083723068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W COLE RD",
            "address_2": "C",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059430",
            "telephone_number": "207-284-0176",
            "fax_number": "207-286-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W COLE RD",
            "address_2": "C",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059430",
            "telephone_number": "207-284-0176",
            "fax_number": "207-286-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLARKY",
        "first_name": "KEVIN",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD12722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13204000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.