Patrick Sean Mulick, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0806P Issued in AR

Practice address

2397 Harrison St
Suite C
Batesville, AR 72501-7420

Phone

(870) 262-1357

Fax

(870) 698-0109

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

White River Health System, Inc. 190 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.mulick.1@13831.direct.athenahealth.com

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.

• White River Health System, Inc.

  • Psychiatry Physician
  • Batesville, AR
  • NPI 1710952650

  AR, Clinical

  Medicare reassignment NPD
• White River Health System, Inc.

  • Surgery Physician
  • Batesville, AR
  • NPI 1992125850
  NPD
• White River Health System, Inc

  • Anesthesiology Physician
  • Batesville, AR
  • NPI 1760410229
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1609955657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017417",
            "telephone_number": "870-698-2100",
            "fax_number": "870-698-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 HARRISON ST",
            "address_2": "SUITE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017420",
            "telephone_number": "870-262-1357",
            "fax_number": "870-698-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULICK",
        "first_name": "PATRICK",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY 3413",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "0806P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Moser, CIS
• Jonathan D Moser, M.D.
• Molly Mourer
• Gail Moye
• Shirley A. Moyer
• Padmavathi Muppalla
• Lisa D Murphy, LPC
• Myers Davis Life Coaching, Inc
• Abigail Myers
• Kayla Myers

• All providers in Batesville, AR
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.