Randi Mullen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119569 Issued in CA

Practice address

49869 Calhoun St Ste D
Coachella, CA 92236-9720

Phone

(760) 398-9090

NPI assigned

May 4, 2022

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

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.

• Oasis Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Banning, CA
  • NPI 1093388480
  NPD (past)
• Riverside County Latino Commission on Alcohol and Drug Abuse Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indio, CA
  • NPI 1477665651
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1407591399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922020234",
            "telephone_number": "760-398-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49869 CALHOUN ST STE D",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922369720",
            "telephone_number": "760-398-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "RANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Mireles, RADT
• Maureen Paula Misuraca, AMFT, APCC
• Daniela Molina-Ayon
• Edgar Montoya-Salgado
• Marlene N Mora-Lopez, RADT I
• Jose Julio Murillo
• Philip Nathanson, RPH
• Leeanna Noelia Monique Navarro, N/A
• B'Lala Nawurah, MD
• Calvin Nguyen

• Clinical Social Worker in Coachella, CA
• Providers in Coachella, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.