Individual provider Active NPI

Jill Mullin, MA, MSED, BCBA

  • Behavior Analyst
  • South Portland, ME
National Provider Identifier
1427328335
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1031160
Practice address
30 Clinton St
South Portland, ME 04106-4914
Phone
(207) 408-2701
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1130497 NY
Behavior Analyst 103K00000X 1031160 Primary

Addresses

Primary practice location

30 Clinton St
South Portland, ME 04106-4914

Mailing address

3545 82ND St Apt 51
Jackson Heights, NY 11372-5138
Phone (209) 471-2212

Other practice location 1

15 Saunders Way Ste 900
Westbrook, ME 04092-4836
Phone (207) 878-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1130497NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Every Day Counts, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1427328335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 82ND ST APT 51",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725138",
            "telephone_number": "209-471-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CLINTON ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064914",
            "telephone_number": "207-408-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Saunders Way Ste 900",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040924836",
            "country_code": "US",
            "telephone_number": "207-878-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MA, MSED, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1130497",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1031160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.