Janine Gauthier Mullady, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006689 Issued in IL

Practice address

3633 W Lake Ave
Suite 404
Glenview, IL 60026-5805

Phone

(312) 285-4729

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life Reset Solutions, P.CGroup PAC ID 7618110347, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Life Reset Solutions, P.C.

  • Adult Mental Health Clinic/Center
  • Glenview, IL
  • NPI 1902243090
  Medicare reassignment Care Compare group NPD Authorized official
• Department of Behavioral Sciences

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1235398546
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1649495011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 W OLD MILL RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453721",
            "telephone_number": "312-285-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE",
            "address_2": "SUITE 404",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265805",
            "telephone_number": "312-285-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLADY",
        "first_name": "JANINE",
        "middle_name": "GAUTHIER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Mueller, PTA
• Kam Mueller, PA-C
• Michael Wesley Mueller
• Mukesh K Ahluwalia PC
• Joseph Phillip Muldoon, MD
• Caryn Mullins, PT
• Stephanie Mulso, MD
• Katherine E. Muniz, APN-CNP
• Safa Fatima Muntajibuddin, M.S., OTR
• Olivia Murad

• Clinical Psychologist in Glenview, IL
• Providers in Glenview, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.