Active NPI
Chole G Mullen, MD
- Psychiatry Physician
- Cincinnati, OH
National Provider Identifier
1528023975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35057702
- Practice address
- 1329 E Kemper Rd Ste 4212B
Cincinnati, OH 45246-5100 - Phone
- (513) 283-0004
- Fax
- (513) 832-0499
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 30162 | KY | |
| Psychiatry Physician | 2084P0800X | 35057702 | OH | Primary |
Addresses
Primary practice location
1329 E Kemper Rd Ste 4212B
Cincinnati, OH 45246-5100
Mailing address
1329 E Kemper Rd Ste 4212B
Cincinnati, OH 45246-5100
Phone (513) 283-0004
Other practice location 1
8614 Shepherd Farm Dr
West Chester, OH 45069-1128
Phone (513) 657-0765
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6037 | Other | KY | MEDICARE |
| 0025661 | Other | OH | MEDICARE |
| 30607030 | Medicaid | OH | |
| 0256 | Other | KY | MEDICARE |
| 0798570 | Medicaid | OH |
Other names 1
- Dr. Chole Garibay Mullen
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35057702 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Northern Kentucky Mental Health Mental Retardation Regional Board | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Psychiatric Hospital
- Covington, KY
- NPI 1679775514
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1528023975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 E KEMPER RD STE 4212B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452465100",
"telephone_number": "513-283-0004",
"fax_number": "513-580-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 E KEMPER RD STE 4212B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452465100",
"telephone_number": "513-283-0004",
"fax_number": "513-832-0499"
}
],
"practiceLocations": [
{
"address_1": "8614 Shepherd Farm Dr",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450691128",
"country_code": "US",
"telephone_number": "513-657-0765",
"fax_number": "513-942-9501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLEN",
"first_name": "CHOLE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "KY",
"license": "30162",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35057702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "6037",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0025661",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30607030",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0256",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0798570",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHOLE",
"last_name": "MULLEN",
"middle_name": "GARIBAY",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.