Individual provider Active NPI

Karen Marie Mullaney, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1437107075
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
002289 Issued in CT
Practice address
72 North St Ste 103
Danbury, CT 06810-5653
Phone
(203) 748-1200
Fax
(203) 790-0010
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400817 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 002289 CT Primary

Addresses

Primary practice location

72 North St Ste 103
Danbury, CT 06810-5653

Mailing address

72 North Street
Suite 103
Danbury, CT 06810
Phone (203) 748-1200

Other practice location 1

333 Adams Street
Bedford Hills, NY 10507-2001
Phone (914) 241-0758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000040 CT Practitioner - Nurse Practitioner 1557684594 Reassigns benefits to 1 organization
Practice locations: Danbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

72 N St
Suite 103
Danbury, CT 06810-5653
Phone (203) 748-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002289CTMDChiropractor
F400817NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital CurrentSince Jul 1, 2014 Accepting new patients
Danbury Hospital CurrentSince Jul 1, 2014 Accepting new patients
TTC Psychiatric PC PastSince Aug 28, 2012 Accepting new patients
The Therapy Center LLP PastSince Apr 23, 2016 Accepting new patients

Locations

152 West St
Danbury, CT 06810
Phone (203) 791-5120

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

Organizations & group practices 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437107075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NORTH STREET",
            "address_2": "SUITE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-748-1200",
            "fax_number": "203-790-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NORTH ST STE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105653",
            "telephone_number": "203-748-1200",
            "fax_number": "203-790-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Adams Street",
            "address_purpose": "LOCATION",
            "city": "Bedford Hills",
            "state": "NY",
            "postal_code": "105072001",
            "country_code": "US",
            "telephone_number": "914-241-0758",
            "fax_number": "914-242-5152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLANEY",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400817",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.