NPIMap

Organization Active NPI

Jean Mulloy PHD Inc

  • Psychologist
  • Tampa, FL
National Provider Identifier
1356500714
Registry record updated Jun 2, 2008
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Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5467 Issued in FL
Legal business name
JEAN MULLOY PHD INC
Practice address
730 S Sterling Ave
Suite 301
Tampa, FL 33609-4542
Phone
(813) 875-0728
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Jean Marie Mulloy, PH.D.
Title
President
Phone
(813) 875-0728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5467 FL Primary

Addresses

Primary practice location

730 S Sterling Ave
Suite 301
Tampa, FL 33609-4542

Mailing address

730 S Sterling Ave
Suite 301
Tampa, FL 33609-4542
Phone (813) 875-0728

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1356500714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S STERLING AVE",
            "address_2": "SUITE 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094542",
            "telephone_number": "813-875-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S STERLING AVE",
            "address_2": "SUITE 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094542",
            "telephone_number": "813-875-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN MULLOY PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MULLOY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-875-0728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

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