Patrick Mulhall, PH.D,LCSW,PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0004441 Issued in FL

Legal business name

PATRICK MULHALL, PH.D,LCSW,PA

Practice address

3475 Sheridan St Ste 312
Hollywood, FL 33021-3660

Phone

(954) 894-8024

Fax

(954) 894-8094

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Mulhall, PHD,LCSWNPI 1154404663

Title

Owner

Phone

(954) 894-8024

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick N Mulhall, PH.D,LCSW,PA

  • Clinical Social Worker
  • Hollywood, FL
  • NPI 1154404663
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1427355361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST STE 312",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213660",
            "telephone_number": "954-894-8024",
            "fax_number": "954-894-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST STE 312",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213660",
            "telephone_number": "954-894-8024",
            "fax_number": "954-894-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK MULHALL, PH.D,LCSW,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "MULHALL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-894-8024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0004441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathology Consultants of South Broward, LLP
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• Pathways to Healing
• Patricia Jaegerman, Psy.D.
• Patrick Joseph Justiz, MD
• Yureidy Patron Aguila
• Iani Patsias, M.D.
• Tasha Patterson, APRN
• Thomas Patullo, AP OTR
• Paulette R Gibbons

• Clinical Social Worker in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.