Individual provider Active NPI

Anne Marie Mulkern, M.D.

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1821107434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24692 Issued in NC
Practice address
109 Conner Dr
Building 3, Suite 106
Chapel Hill, NC 27514-7039
Phone
(919) 967-4488
Fax
(919) 967-4488
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 24692 NC Primary

Addresses

Primary practice location

109 Conner Dr
Building 3, Suite 106
Chapel Hill, NC 27514-7039

Mailing address

109 Conner Dr
Building 3, Suite 106
Chapel Hill, NC 27514-7039
Phone (919) 967-4488

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24692NCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821107434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CONNER DR",
            "address_2": "BUILDING 3, SUITE 106",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147039",
            "telephone_number": "919-967-4488",
            "fax_number": "919-967-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CONNER DR",
            "address_2": "BUILDING 3, SUITE 106",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147039",
            "telephone_number": "919-967-4488",
            "fax_number": "919-967-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKERN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "24692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.