Robert D. McMullen

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

131895 Issued in NY

Practice address

171 W 79TH St # 2
New York, NY 10024-6449

Phone

(212) 362-9635

Fax

(212) 362-3997

NPI assigned

Feb 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

Other names 1

• Robert D. McMullen Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1750422812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W 79TH ST # 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246449",
            "telephone_number": "212-362-9635",
            "fax_number": "212-362-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W 79TH ST # 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246449",
            "telephone_number": "212-362-9635",
            "fax_number": "212-362-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "131895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "MCMULLEN",
            "middle_name": "D.",
            "credential": "M.D., P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Everyl A McMorris, PA
• Whitney McMullan, MSW
• Yessica McMullan
• Hannah Lacey McMullen
• Patricia M. McMullen, NP
• Evan McMurray
• Allison McMurry
• Brittney Tiffany McNab, NP
• Ashley Erin McNabb, M.S. CCC-SLP
• Aimee McNally

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.