Active NPI
Susan Mull, PHD
- Psychoanalyst
- Pasadena, CA
National Provider Identifier
1457761918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- MFC 33890
- Practice address
- 595 E Colorado Blvd
Ste. 308
Pasadena, CA 91101-2039 - Phone
- (626) 577-8482
- NPI assigned
- May 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | MFC 33890 | CA | Primary |
Addresses
Primary practice location
595 E Colorado Blvd
Ste. 308
Pasadena, CA 91101-2039
Mailing address
595 E Colorado Blvd
Ste. 308
Pasadena, CA 91101-2039
Phone (626) 577-8482
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 33890 | CA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1457761918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD",
"address_2": "STE. 308",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012039",
"telephone_number": "626-577-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD",
"address_2": "STE. 308",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012039",
"telephone_number": "626-577-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULL",
"first_name": "SUSAN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "MFC 33890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.