Individual provider Active NPI

Catherine Amelia Mullis, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1699433003
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010672 Issued in IL
Practice address
53 W Jackson Blvd Ste 1626
Chicago, IL 60604-3740
Phone
(312) 248-3187
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.010672 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 1626
Chicago, IL 60604-3740

Mailing address

53 W Jackson Blvd Ste 1626
Chicago, IL 60604-3740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drcalliemullis@gmail.com

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

State licenses

LicenseStateTypeSpecialty
071.010672ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Rhythms Psychology PLLC Clinical CurrentSince May 7, 2024 Accepting new patients

Locations

53 W Jackson Blvd
Ste 1626
Chicago, IL 60604
Phone (312) 248-3187

53 W Jackson Blvd
Ste 824
Chicago, IL 60604
Phone (312) 835-7988

Organizations & group practices 1

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1699433003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043740",
            "telephone_number": "312-248-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "CATHERINE",
        "middle_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drcalliemullis@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Buisness Email address",
            "address_1": "53 W Jackson Blvd Ste 1626",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606043740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.