Active NPI
Alexis Mullin
- Behavior Analyst
- Sayreville, NJ
National Provider Identifier
1699484808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 59 Jensen Rd
Sayreville, NJ 08872-1969 - Phone
- (908) 596-1622
- NPI assigned
- Nov 16, 2022
- Last updated
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
59 Jensen Rd
Sayreville, NJ 08872-1969
Mailing address
59 Jensen Rd
Sayreville, NJ 08872-1969
Phone (908) 596-1622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Medicaid | NJ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ConnectUrl | Direct | |
| CONNECT URL | ConnectURL | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1699484808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 JENSEN RD",
"city": "SAYREVILLE",
"state": "NJ",
"postal_code": "088721969",
"telephone_number": "908-596-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 JENSEN RD",
"city": "SAYREVILLE",
"state": "NJ",
"postal_code": "088721969",
"telephone_number": "908-596-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000000",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ConnectUrl",
"affiliation": "N",
"endpointDescription": "ConnectUrl",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "59 Jensen Rd",
"city": "Sayreville",
"state": "NJ",
"country_code": "US",
"postal_code": "088721969",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ConnectURL",
"affiliation": "N",
"endpointDescription": "ConnectURL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "59 Jensen Rd",
"city": "Sayreville",
"state": "NJ",
"country_code": "US",
"postal_code": "088721969",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sayreville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.