Michael Mauldin, PH.D., L.L.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1072 Issued in NM

Legal business name

MICHAEL MAULDIN, PH.D., L.L.C.

Practice address

154 Anya Rd
Corrales, NM 87048

Phone

(575) 937-6458

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Mauldin, PH.D.

Title

Psychologist

Phone

(575) 937-6458

Specialties & licenses 1

Addresses

Other names 1

• Michael A. Mauldin, Ph.D.,LLC. Other name

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1447562145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ANYA RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488581",
            "telephone_number": "575-937-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 ANYA RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "87048",
            "telephone_number": "575-937-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MAULDIN, PH.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "575-937-6458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A. Mauldin, Ph.D.,LLC.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Michael A. Mauldin, Ph.D.,LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Hobbs Psychotherapy LLC
• Michael A Mauldin, PH.D.
• Angel Carmillia McKinstry Ramsey
• Christine Mermilliod, MS LPC LMFT NCC LPCC
• Meta, Inc.
• Ann M Micono, LICENSE MASSAGE THER
• Mimbres Counseling Services, LLC
• Erica Montoya-Heath, LCSW
• Leah Theresa Montoya
• Emory W Moore, LPCC

• Clinical Psychologist in Corrales, NM
• Providers in Corrales, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.