Active NPI
Peter Mullen
- Counseling Psychologist
- Newport, RI
National Provider Identifier
1205325149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2561-PY-PR
- Practice address
- 5 Andrew St
Newport, RI 02840-4301 - Phone
- (401) 847-3708
- NPI assigned
- May 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2561-PY-PR | MA | Primary |
Addresses
Primary practice location
5 Andrew St
Newport, RI 02840-4301
Mailing address
5 Andrew St
Newport, RI 02840-4301
Phone (401) 847-3708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2561-PY-PR | Other | MA | PSYCHOLOGY LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2561-PY-PR | MA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1205325149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ANDREW ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028404301",
"telephone_number": "401-847-3708",
"fax_number": "401-847-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ANDREW ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028404301",
"telephone_number": "401-847-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-07",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "2561-PY-PR",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "2561-PY-PR",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.