Anne L Mauldin, PH.D., PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2854 Issued in NC

Legal business name

ANNE L MAULDIN, PH.D., PA

Practice address

704 Cromwell Dr Ste B
Greenville, NC 27858-5894

Phone

(252) 215-0046

Fax

(252) 215-0044

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anne L Mauldin, PH.D.NPI 1710015813

Title

President, Licensed Psychologist

Phone

(252) 215-0046

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Luther Mauldin, PH.D.

  • Clinical Psychologist
  • Greenville, NC
  • NPI 1710015813
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1689820235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CROMWELL DR",
            "address_2": "STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585894",
            "telephone_number": "252-215-0046",
            "fax_number": "252-215-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 CROMWELL DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585894",
            "telephone_number": "252-215-0046",
            "fax_number": "252-215-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE L MAULDIN, PH.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "252-215-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.