Michael Joseph Mullin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A95858 Issued in CA

Practice address

1300 N 17TH Ave
Greeley, CO 80631-9584

Phone

(970) 347-2120

Fax

(970) 346-9800

NPI assigned

Nov 1, 2006

Last updated

Mar 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of California, San Diego School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Range Behavioral HealthGroup PAC ID 1951299486, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Range Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeley, CO
  • NPI 1669431524
  Medicare reassignment Care Compare group NPD
• Uhs of Centennial Peaks LLC

  dba Centennial Peaks Hospital

  • Psychiatric Hospital
  • Louisville, CO
  • NPI 1760623888
  Medicare reassignment NPD
• North Range Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Evans, CO
  • NPI 1386250843
  NPD
• North Range Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greeley, CO
  • NPI 1598525032
  NPD
• Uhs of Centennial Peaks, LLC

  dba Centennial Peaks Hospital

  • Family Nurse Practitioner
  • Louisville, CO
  • NPI 1386179711
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1548348592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319584",
            "telephone_number": "970-347-2120",
            "fax_number": "970-346-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319584",
            "telephone_number": "970-347-2120",
            "fax_number": "970-346-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A95858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Muehlberger, LPC
• Kyler Thomas Muir
• Noella Mukeshimana
• Camryn Mullen
• Amanda Muller
• Destiny Victoria Mullins, AUD
• Ryan Andrew Mullins
• Joseph Mulroy, PHARM.D
• Tess Munoz, LPC
• Erin Kathleen Muransky, OTR

• Psychiatry Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.