Active NPI
Robin Mullican
- Psychologist
- Columbia, MD
National Provider Identifier
1740204650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 04066
- Practice address
- 6851 Oak Hall LN
Suite 118
Columbia, MD 21045-5846 - Phone
- (443) 847-0100
- NPI assigned
- Jul 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 04066 | MD | Primary |
| Clinical Psychologist | 103TC0700X | 04066 | MD |
Addresses
Primary practice location
6851 Oak Hall LN
Suite 118
Columbia, MD 21045-5846
Mailing address
PO Box 6234
Columbia, MD 21045-6234
Phone (443) 847-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132190100 | Medicaid | MD |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1740204650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6234",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210456234",
"telephone_number": "443-847-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6851 OAK HALL LN",
"address_2": "SUITE 118",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455846",
"telephone_number": "443-847-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLICAN",
"first_name": "ROBIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04066",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04066",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132190100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.