Kathleen Mulrenin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1035 Issued in ME

Practice address

61 Main St Ste 64
Bangor, ME 04401-8300

Phone

(207) 470-0571

Fax

(877) 320-4344

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Desert Island HospitalGroup PAC ID 0941250963, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Desert Island Hospital Hospital, Bar Harbor, ME, CCN 201304

Merit-based Incentive Payment System (MIPS)

Final score

96.58 of 100Reported as apm

Quality

83.17

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

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.

• Mount Desert Island Hospital

  • Critical Access Hospital
  • Bar Harbor, ME
  • NPI 1790764512
  Medicare reassignment Care Compare group NPD
• Mount Desert Island Hospital

  • Dental Clinic/Center
  • Southwest Harbor, ME
  • NPI 1235553413
  NPD

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

• Mount Desert Island Hospital

  • Dental Clinic/Center
  • Southwest Harbor, ME
  • NPI 1235553413

  Hospital

  Care Compare affiliation
• Mount Desert Island Hospital

  • Critical Access Hospital
  • Bar Harbor, ME
  • NPI 1790764512
  Care Compare affiliation

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1124000351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST STE 64",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044018300",
            "telephone_number": "207-470-0571",
            "fax_number": "877-320-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST STE 64",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044018300",
            "telephone_number": "207-470-0571",
            "fax_number": "877-320-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULRENIN",
        "first_name": "KATHLEEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999020301",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Louise Mroz, RNC
• Judith Muhlin, LCSW
• Ian Mukand-Cerro, M.D.
• Cassandra Lynn Muldoon, MD
• Dennis Mullins, P.T.
• Rachel Anne Muncey, PMHNP
• Clare Mundell, PH.D.
• Amber Munoz, PMHNP
• Tyler Munro, PA-C
• Kathryn Breanna Munzer, PA-C

• Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.