Carol Ann Mullins

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

9370 Eckerman Rd
Roseville, CA 95661-5911

Phone

(916) 899-0294

NPI assigned

Oct 21, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• K.I.S.S. House, Women in Recovery

  • Substance Abuse Rehabilitation Facility
  • Roseville, CA
  • NPI 1740432723
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1164674149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 ECKERMAN RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615911",
            "telephone_number": "916-899-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 ECKERMAN RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615911",
            "telephone_number": "916-899-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "K.I.S.S. HOUSE, WOMEN IN RECOVERY",
            "identifier": "PENDING ENUMERATION",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khurshid Khan Muhammad, MD
• Harleen Muhar
• Lauren McKenna Muhoberac
• Julie Mullen, LMFT 125359
• Deanna E. Mullin, MD
• Centri M Mullis, COTA/L
• Carolyn Mullonkal
• Heather Mummaw, LMFT
• Erina Muniz, M.A., BCBA
• Katherine Marie Munoz

• Substance Abuse Rehabilitation Facility in Roseville, CA
• Providers in Roseville, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.