Gina M Mulanthara, OTR/L

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

98 Bosworth St
San Francisco, CA 94112-1002

Phone

(415) 551-0975

NPI assigned

Jan 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Special Services for Groups

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1558555730
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1508456120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002",
            "telephone_number": "415-551-0975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Divisadero St Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941172242",
            "country_code": "US",
            "telephone_number": "415-551-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULANTHARA",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21697",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Mukhtar, MD
• Adi Xiyal Mukund, MD, PHD
• Erin Muladore, DNP, RN, PMHNP-BC
• Liseli I Mulala-Simpson, RPH
• Catalina Mulanax
• Frances Paola Mulcahy, MA, LMFT
• Marybeth Mulcahy, MD
• Eva Mulder
• Hannah Mulder, RN, CNM, WHNP
• Michelle Mulder, MD

• Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.