Active NPI
Daniel T Mullins, PHD
- Psychologist
- Atlanta, GA
National Provider Identifier
1689994535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY2934
- Practice address
- 455 E Paces Ferry Rd NE
Suite 228
Atlanta, GA 30305-3313 - Phone
- (678) 705-5632
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY2934 | GA | Primary |
| Psychologist | 103T00000X | 1003 | LA |
Addresses
Primary practice location
455 E Paces Ferry Rd NE
Suite 228
Atlanta, GA 30305-3313
Mailing address
455 E Paces Ferry Rd NE
Suite 228
Atlanta, GA 30305-3313
Phone (504) 237-7919
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY2934 | GA | MD | Psychologist |
| 1003 | LA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315612800000",
"number": "1689994535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E PACES FERRY RD NE",
"address_2": "SUITE 228",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303053313",
"telephone_number": "504-237-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E PACES FERRY RD NE",
"address_2": "SUITE 228",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303053313",
"telephone_number": "678-705-5632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "DANIEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2011-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY2934",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "1003",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.