Michael E. Mullan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21513 Issued in CA

Practice address

155 S 5TH St
Coalinga, CA 93210-1903

Phone

(559) 935-4282

Fax

(559) 935-4285

NPI assigned

Aug 10, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Reedley Community Hospital

  dba Adventist Health Reedley

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  NPD
• Reedley Community Hospital

  dba Adventist Health Reedley

  • Rural Health Clinic/Center
  • Earlimart, CA
  • NPI 1821699620
  NPD
• RX Care Pharmacy Inc

  dba RX Care Pharmacy

  • Community/Retail Pharmacy
  • Coalinga, CA
  • NPI 1578512471
  NPD (past)
• Wannaporn Mullan

  dba Coalinga Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Coalinga, CA
  • NPI 1861500787
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1700078011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-583-4617",
            "fax_number": "559-583-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S 5TH ST",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932101903",
            "telephone_number": "559-935-4282",
            "fax_number": "559-935-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAN",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabreena Mirza, NP
• Marie Antoinette Montemayor
• Michael Richard Montrief, PH.D.
• Jong Yeoung Moon, M.D
• Njambi Neri Muiru
• Alex Murillo-Sotelo
• Rusdy Murni, DDS
• Michael Murphy, PH.D.
• Sonja Eloise Murphy
• Ruth Muthima, RN

• Clinical Psychologist in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.