Individual provider Active NPI

Anthony Mullin, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1508235672
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021971 Issued in NY
Practice address
217 E 26TH St
Apartment 2
New York, NY 10010-1927
Phone
(646) 241-5309
NPI assigned
Sep 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P99473 NY
Clinical Psychologist 103TC0700X 021971 NY Primary

Addresses

Primary practice location

217 E 26TH St
Apartment 2
New York, NY 10010-1927

Mailing address

217 E 26TH St
Apartment 2
New York, NY 10010-1927
Phone (646) 241-5309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206000024 NY Practitioner - Clinical Psychologist 2466735030 Reassigns benefits to 4 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nodar Janas MD PCGroup PAC ID 0648534412, 8 clinicians

Practice addresses (Care Compare)

214 W Huston St
W Village Rehabilitation and Nursing Ctr
New York, NY 10014-4846
Phone (212) 337-9400

3501 202ND St
Bayside, NY 11361-1117
Phone (718) 224-7194

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P99473NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Clinical CurrentSince Jan 3, 2017 Accepting new patients
Nodar Janas MD PC Clinical CurrentSince Dec 31, 2023 Accepting new patients
Dr. Anthony Mullin Psychological Services PC CurrentSince Nov 20, 2024 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Jan 3, 2017 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

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": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1508235672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 26TH ST",
            "address_2": "APARTMENT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101927",
            "telephone_number": "646-241-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 26TH ST",
            "address_2": "APARTMENT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101927",
            "telephone_number": "646-241-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P99473",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.