Shelley Elizabeth Mulligan, PHD., OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1068 Issued in NH

Practice address

4 Library Way
Durham, NH 03824-3520

Phone

(603) 862-3528

NPI assigned

Jun 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Passage Program of the University of New Hampshire

  • Recreation Therapist
  • Durham, NH
  • NPI 1740650977
  NPD (past)
• University Ssytem of New Hampshire

  dba Seacoast Child Development Clinic

  • Developmental Disabilities Clinic/Center
  • Durham, NH
  • NPI 1194929422
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346445723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROCKY LN",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038241947",
            "telephone_number": "603-862-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LIBRARY WAY",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038243520",
            "telephone_number": "603-862-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "SHELLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Prof.",
        "credential": "PHD., OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NH",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley A Merritt, DC
• Cynthia Michaud, ATC
• Lizaliza Mockeridge, LCPC
• Heather Maria Morrison, ATC
• Jennifer Mountain
• Ted Mulligan, MS OT, MBA
• Joel D Mullins, DC
• Susan Lynn Neal, L.I.C.S.W.
• Nextstep Network LLC
• Christine Mary Nolan, M.ED

• Pediatric Occupational Therapist in Durham, NH
• Providers in Durham, NH by specialty
• Pediatric Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.