Active NPI
Jessica Lee Mulhollan, PHARMD
- Psychiatric Pharmacist
- Cleveland, OH
National Provider Identifier
1154673937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 03135406
- Practice address
- 10701 East Blvd
Cleveland, OH 44106-1702 - Phone
- (216) 791-3800
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | RP446296 | PA | |
| Psychiatric Pharmacist | 1835P1300X | 03135406 | OH | Primary |
| Psychiatric Pharmacist | 1835P1300X | 47814 | TX |
Addresses
Primary practice location
10701 East Blvd
Cleveland, OH 44106-1702
Mailing address
10701 East Blvd
Cleveland, OH 44106-1702
Phone (216) 791-3800
Other practice location 1
12300 McCracken Rd
Garfield Heights, OH 44125-2914
Phone (216) 584-7929
Other practice location 2
3811 OHara St
Room 1514
Pittsburgh, PA 15213-2593
Phone (412) 864-2285
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03135406 | OH | MD | Psychiatric Pharmacist |
| RP446296 | PA | MD | Psychiatric Pharmacist |
| 47814 | TX | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1154673937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702",
"telephone_number": "216-791-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702",
"telephone_number": "216-791-3800"
}
],
"practiceLocations": [
{
"address_1": "12300 McCracken Rd",
"address_purpose": "LOCATION",
"city": "Garfield Heights",
"state": "OH",
"postal_code": "441252914",
"country_code": "US",
"telephone_number": "216-584-7929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3811 OHara St",
"address_2": "Room 1514",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132593",
"country_code": "US",
"telephone_number": "412-864-2285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULHOLLAN",
"first_name": "JESSICA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "PA",
"license": "RP446296",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "OH",
"license": "03135406",
"primary": true
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "TX",
"license": "47814",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.