Active NPI
Kathryn Mulholland, PHD
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1548647522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27104
- Practice address
- 2269 Chestnut St
#184
San Francisco, CA 94123-2600 - Phone
- (415) 407-4029
- Fax
- (415) 674-3855
- NPI assigned
- Apr 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27104 | CA | Primary |
| Rehabilitation Psychologist | 103TR0400X | PSY27104 | CA |
Addresses
Primary practice location
2269 Chestnut St
#184
San Francisco, CA 94123-2600
Mailing address
2269 Chestnut St
#184
San Francisco, CA 94123-2600
Phone (415) 407-4029
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27104 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1548647522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2269 CHESTNUT ST",
"address_2": "#184",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941232600",
"telephone_number": "415-407-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2269 CHESTNUT ST",
"address_2": "#184",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941232600",
"telephone_number": "415-407-4029",
"fax_number": "415-674-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHOLLAND",
"first_name": "KATHRYN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27104",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "CA",
"license": "PSY27104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.