Active NPI
Thomas Muldary, PH.D.
- Clinical Psychologist
- Adrian, MI
National Provider Identifier
1144386996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301005130
- 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
- Sex
- Male
- 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 | 6301005130 | 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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680D64503 | Other | MI | BLUE CROSS GROUP PIN |
| 680D64506 | Other | MI | BLUE CROSS PIN |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005130 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas W. Muldary, PH.D. and Patricia M. Muldary, PH.D. PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Adrian, MI
- NPI 1083770804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144386996",
"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": {
"last_name": "MULDARY",
"first_name": "THOMAS",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301005130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP PIN",
"identifier": "680D64503",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "680D64506",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.