Prabir Mullick, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD030769E Issued in PA

Practice address

4608 Penn Ave
Pittsburgh, PA 15224-1309

Phone

(412) 621-4757

Fax

(412) 621-9784

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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 PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

P.K. Mullick, MD and Associates PCGroup PAC ID 4789622440, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• P.K. Mullick, MD & Associates PC

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1699704890
  Medicare reassignment Care Compare group NPD Authorized official
• Wpic Physician Practice Corp Inc

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1356319313
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1285603126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 PENN AVENE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241309",
            "telephone_number": "412-621-4757",
            "fax_number": "412-621-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241309",
            "telephone_number": "412-621-4757",
            "fax_number": "412-621-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICK",
        "first_name": "PRABIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD030769E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001307512",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantal Mynda Muller-Cohn
• Abby Muller, AU.D.
• Annette Lombardi Muller, CRNP
• Julia Muller
• Peter Mullican
• Ann Katherine Mulligan, COTA/L
• Jaime Mullin
• Laura Mullin, CPO
• Tracey L Mullinary, DC
• Jennifer Mullins-Luke

• Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.