Active NPI
Kathleen Anne Mulherin, PH.D.
- Clinical Psychologist
- San Bruno, CA
National Provider Identifier
1619033248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 17323
- Practice address
- 1001 Sneath LN
Suite 204
San Bruno, CA 94066-2308 - Phone
- (650) 616-6200
- Fax
- (650) 616-6210
- NPI assigned
- Dec 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 17323 | CA | Primary |
Addresses
Primary practice location
1001 Sneath LN
Suite 204
San Bruno, CA 94066-2308
Mailing address
1001 Sneath LN
Suite 204
San Bruno, CA 94066-2308
Phone (650) 616-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U00001696 | Other | CA | MEDICARE MEMBER ID |
Other names 1
- Kathleen Anne McHale
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 |
|---|---|---|---|
| PSY 17323 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1619033248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SNEATH LN",
"address_2": "SUITE 204",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662308",
"telephone_number": "650-616-6200",
"fax_number": "650-616-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SNEATH LN",
"address_2": "SUITE 204",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662308",
"telephone_number": "650-616-6200",
"fax_number": "650-616-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHERIN",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 17323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MEMBER ID",
"identifier": "U00001696",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "MCHALE",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.