Organization Active NPI

William L Mulligan PHD PC

Doing business as Cognitive Behavior Therapy Center

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1336366061
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000729 Issued in VA
Legal business name
WILLIAM L MULLIGAN PHD PC
Doing business as
Cognitive Behavior Therapy Center
Practice address
1403 Greenbrier Pkwy Ste 215
Chesapeake, VA 23320-0608
Phone
(757) 410-0700
Fax
(757) 222-3384
NPI assigned
Apr 20, 2007
Last updated
Jul 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William L Mulligan, PH.D.NPI 1063406478
Title
President/Owner
Phone
(757) 410-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810000729 VA Primary

Addresses

Primary practice location

1403 Greenbrier Pkwy Ste 215
Chesapeake, VA 23320-0608

Mailing address

PO Box 4805
Virginia Beach, VA 23454-0805
Phone (757) 410-0700

Other identifiers 1

IdentifierTypeStateIssuer
C10849OtherMEDICARE PTAN

Other names 1

  • Cognitive Behavior Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

1403 Greenbrier Pkwy
Ste 215
Chesapeake, VA 23320
Phone (757) 410-0700

637 Kingsborough Sq
Ste H
Chesapeake, VA 23320
Phone (757) 410-0700

1604 Hilltop West Shopping Ctr
Ste 318
Virginia Beach, VA 23451
Phone (757) 410-0700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341619200000",
    "number": "1336366061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4805",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234540805",
            "telephone_number": "757-410-0700",
            "fax_number": "757-222-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY STE 215",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200608",
            "telephone_number": "757-410-0700",
            "fax_number": "757-222-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L MULLIGAN PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-07-07",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "757-410-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C10849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cognitive Behavior Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; 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.