Active NPI
Paul J Mullen, PSY. D.
- Psychologist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1776 Legacy Cir Ste 114
Naperville, IL 60563-1673 - Phone
- (630) 653-1000
- Fax
- (630) 653-1010
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
1776 Legacy Cir Ste 114
Naperville, IL 60563-1673
Mailing address
1776 Legacy Cir Ste 114
Naperville, IL 60563-1673
Phone (630) 653-1000
Other practice location 1
5151 Mochel Dr Ste 305
Downers Grove, IL 60515-5078
Phone (630) 653-1000 ext. 700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1776 Legacy Cir
Suite 114
Naperville, IL 60563-1642
PO Box
Suite 1974
Oak Park, IL 60304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J Mullen Psy D P C | Current | Accepting new patients |
Locations
5151 Mochel Dr
Ste 305
Downers Grove, IL 60515
Phone 6306531000 ext. 700
1776 Legacy Cir
Ste 114
Naperville, IL 60563
Phone (630) 653-1000
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1588743231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 LEGACY CIR STE 114",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631673",
"telephone_number": "630-653-1000",
"fax_number": "630-653-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 LEGACY CIR STE 114",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631673",
"telephone_number": "630-653-1000",
"fax_number": "630-653-1010"
}
],
"practiceLocations": [
{
"address_1": "5151 Mochel Dr Ste 305",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605155078",
"country_code": "US",
"telephone_number": "630-653-1000 x700",
"fax_number": "630-653-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLEN",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.