Individual provider Active NPI

Judith M Mulage

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1619306933
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2290056 Issued in MA
Practice address
85 Prescott St Ste 403
Worcester, MA 01605-2671
Phone
(508) 753-7259
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2290056 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2290056 MA Primary
Gerontology Nurse Practitioner 363LG0600X RN2290056 MA
Adult Health Nurse Practitioner 363LA2200X RN2290056 MA
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X RN2290056 MA
Geriatric Psychiatry Physician 2084P0805X RN2290056 MA
Registered Nurse 163W00000X RN2290056 MA
Child & Adolescent Psychiatry Physician 2084P0804X RN2290056 MA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X RN2290056 MA
Primary Care Nurse Practitioner 363LP2300X RN2290056 MA

Addresses

Primary practice location

85 Prescott St Ste 403
Worcester, MA 01605-2671

Mailing address

86 Lowther Rd
Framingham, MA 01701-4131

Other practice location 1

159 Union St Ste 101
Marlborough, MA 01752-1274
Phone (508) 481-0246

Other practice location 2

86 Lowther Rd
Framingham, MA 01701-4131
Phone (781) 308-2617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181206001667 MA Practitioner - Nurse Practitioner 3274877949 Reassigns benefits to 5 organizations
I20260513003914 RI Practitioner - Nurse Practitioner 3274877949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence General Community Medical Service PLLCGroup PAC ID 4486941473, 53 clinicians
New England Community Medical Services PLLCGroup PAC ID 8628102928, 53 clinicians

Practice addresses (Care Compare)

290 Littleton Rd
Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2290056MAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence General Community Medical Service PLLC CurrentSince Sep 15, 2024 Accepting new patients
Lianne Inc CurrentSince Oct 1, 2018 Accepting new patients
Saint Vincent Physician Services, Inc. Nurse Practitioner CurrentSince Dec 16, 2019 Accepting new patients
New England Community Medical Services PLLC CurrentSince Sep 15, 2024 Accepting new patients
Wayne B Glazier MD PC CurrentSince Dec 1, 2019 Accepting new patients
Mindrx Health PLLC Psychiatric/Mental Health CurrentSince Dec 14, 2025 Accepting new patients

Locations

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

159 Union St
Ste 101
Marlborough, MA 01752
Phone (508) 481-0246

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

9 Main St
Southborough, MA 01772
Phone (508) 296-0440

85 Prescott St
Ste 403
Worcester, MA 01605
Phone (507) 753-7259

200 Lincoln St
Worcester, MA 01605
Phone (508) 755-1222

95 Lincoln St
Worcester, MA 01605
Phone (508) 453-3053

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1619306933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LOWTHER RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST STE 403",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052671",
            "telephone_number": "508-753-7259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Union St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017521274",
            "country_code": "US",
            "telephone_number": "508-481-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Lowther Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017014131",
            "country_code": "US",
            "telephone_number": "781-308-2617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULAGE",
        "first_name": "JUDITH",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2290056",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2290056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.