NPIMap

Organization Active NPI

Thomas W. Muldary, PH.D. and Patricia M. Muldary, PH.D. PC

  • Clinical Psychologist
  • Adrian, MI
National Provider Identifier
1083770804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301005770 Issued in MI
Legal business name
THOMAS W. MULDARY, PH.D. AND PATRICIA M. MULDARY, PH.D. PC
Practice address
738 S Main St
Suite 101
Adrian, MI 49221-3787
Phone
(517) 263-8113
Fax
(517) 265-3070
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Muldary, PH.D.NPI 1902962756
Title
President
Phone
(517) 263-8113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301005770 MI Primary

Addresses

Primary practice location

738 S Main St
Suite 101
Adrian, MI 49221-3787

Mailing address

738 S Main St
Suite 101
Adrian, MI 49221-3787
Phone (517) 263-8113

Other identifiers 1

IdentifierTypeStateIssuer
680D64503OtherMIBLUE CROSS GROUP PIN

National Provider Directory

National Provider Directory

Locations

738 S Main St
Ste 101
Adrian, MI 49221
Phone (517) 263-8113

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083770804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213787",
            "telephone_number": "517-263-8113",
            "fax_number": "517-265-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213787",
            "telephone_number": "517-263-8113",
            "fax_number": "517-265-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. MULDARY, PH.D. AND PATRICIA M. MULDARY, PH.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULDARY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-263-8113",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP PIN",
            "identifier": "680D64503",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.