Owen Mullen, ST

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

S2779 Issued in MS

Practice address

1635 Boling St
Jackson, MS 39213-4418

Phone

(601) 366-0123

Fax

(601) 366-0649

NPI assigned

Jan 14, 2007

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Willowood Developmental Center

  • Developmentally Disabled Services Day Training Agency
  • Jackson, MS
  • NPI 1174991855
  NPD (past)
• Willowood Developmental Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jackson, MS
  • NPI 1831243070
  NPD (past)

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1326199787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 BOLING ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134418",
            "telephone_number": "601-366-0123",
            "fax_number": "601-366-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 BOLING ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134418",
            "telephone_number": "601-366-0123",
            "fax_number": "601-366-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "OWEN",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "MS",
            "license": "S2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06081560",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03921787",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aun Muhammad, M.B.B.S.
• David Henry Mulholland, MD
• John Andrew Mulkey
• Richard M Mullaney, M.D.
• Alexander Joseph Mullen, MD
• Sylvia Mullen
• Lauren Muller, DO
• Ally Shae Mullins
• Pamela B Mullins, CNNP
• Whitney Morgan Mullins, APRN

• Speech/Language/Hearing Specialist/Technologist in Jackson, MS
• Providers in Jackson, MS by specialty
• Speech/Language/Hearing Specialist/Technologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.