Sean Patirick Mullen, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

220442 Issued in AZ

Practice address

7600 E Florentine Rd Ste 101
Prescott Valley, AZ 86314-1314

Phone

(026) 351-6986

Fax

(602) 266-9025

NPI assigned

Apr 29, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Southwest Behavioral Health Services Inc 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Southwest Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1144384389

  AZ

  Medicare reassignment Care Compare group NPD
• Guidance Center Inc

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1679563290

  AZ

  Medicare reassignment NPD
• Southwest Behavioral Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1316170368
  Care Compare group NPD (past)
• Guidance Center Inc

  • Community/Behavioral Health Agency
  • Williams, AZ
  • NPI 1316014459
  NPD
• Guidance Center Inc

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1811065600
  NPD
• Happy Ears Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Peoria, AZ
  • NPI 1033516083
  NPD
• Southwest Behavioral Health Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Kingman, AZ
  • NPI 1023556339
  NPD
• Southwest Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prescott Valley, AZ
  • NPI 1477841534
  NPD
• I Am Wellness Az LLC

  • Adult Medicine Physician
  • Chandler, AZ
  • NPI 1184354532
  NPD (past)
• I Am Wellness Az LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1376372078
  NPD (past)
• I Am Wellness Az LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1487483186
  NPD (past)
• I Am Wellness Az LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1558190256
  NPD (past)

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1821733247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331",
            "telephone_number": "602-351-6986",
            "fax_number": "602-266-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E FLORENTINE RD STE 101",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141314",
            "telephone_number": "026-351-6986",
            "fax_number": "602-266-9025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 N Steves Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860043959",
            "country_code": "US",
            "telephone_number": "928-224-7030",
            "fax_number": "928-224-7031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "SEAN",
        "middle_name": "PATIRICK",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "220442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Christopher Morse, NP-C
• Mountain Valley Regional Rehabilitation Hospital Inc
• Mountain Valley Regional Rehabilitation Hospital Inc
• Mountain Valley Regional Rehabilitation Hospital Inc
• Sandra Moyle, RN
• Diaz Muniz, LMT
• Kelly Murdock, PSYCHOLOGIST
• Diane Murphy
• My Kare Clinic, PLLC
• Julia Myers, PA

• All providers in Prescott Valley, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.