Donald Mulligan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003694A Issued in IN

Practice address

10765 Lantern Rd
Ste 102
Fishers, IN 46038-3596

Phone

(317) 621-4181

Fax

(317) 621-4182

NPI assigned

Jan 11, 2011

Last updated

Sep 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Medical Center LLC

  • Psychiatry Physician
  • Fishers, IN
  • NPI 1558662791
  NPD (past)

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1437454121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10765 LANTERN RD",
            "address_2": "STE 102",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383596",
            "telephone_number": "317-621-4181",
            "fax_number": "317-621-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10765 LANTERN RD",
            "address_2": "STE 102",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383596",
            "telephone_number": "317-621-4181",
            "fax_number": "317-621-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "DONALD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003694A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7871151",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000700302",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mujani Services LLC
• Anantaa Mukherjee, OT
• Bidur Mukherjee, PT
• Ahmed Eldaw Mukhtar, MD
• Laurelen Muller, CPM CDEM
• Paige Mullin
• Krista Mullinix, ED.S.
• Miranda Mullis, RBT
• Melinda S Mumford-Dawdy, MD
• Malinda Mundy-Burgett, DDS

• Clinical Social Worker in Fishers, IN
• Providers in Fishers, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.