Walter J. Mullin, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104064 Issued in MA

Practice address

48 N Pleasant St Ste 207
Amherst, MA 01002-1741

Phone

(413) 461-4042

Fax

(413) 726-6001

NPI assigned

Jan 6, 2007

Last updated

Oct 15, 2020By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amherst Psychotherapy Practice PC

  dba Advance Psychotherapy Practice PC

  • Mental Health Counselor
  • Amherst, MA
  • NPI 1134760812

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1851449094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST STE 207",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021741",
            "telephone_number": "413-461-4042",
            "fax_number": "413-726-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST STE 207",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021741",
            "telephone_number": "413-461-4042",
            "fax_number": "413-726-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "WALTER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "400430",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P02205",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jeanne Morrissette, MA
• Cindy Moschella, EDS, LPC, LMHC, NCC
• Ali Moshiri, MD
• Roya Simin Mostafavi
• Katlin Mae Mowry, M.A. CMHC
• Multicultural Clinical Services, LLC (MCS)
• Ashleigh Murphy, LMHC
• Jessica A. Murphy, LICSW
• Anna Belle Murray
• Mary Murray, DPT

• Clinical Social Worker in Amherst, MA
• Providers in Amherst, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.