Active NPI
Maria Mullis Sink, LPA
- Psychologist
- High Point, NC
National Provider Identifier
1861708075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0781
- Practice address
- 1208 Eastchester Dr
Suite 200
High Point, NC 27265-3170 - Phone
- (336) 802-2536
- Fax
- (336) 802-2534
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0781 | NC | Primary |
Addresses
Primary practice location
1208 Eastchester Dr
Suite 200
High Point, NC 27265-3170
Mailing address
1701 Westchester Dr
Ste 850
High Point, NC 27262-7254
Phone (336) 802-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107674 | Medicaid | NC |
Other names 1
- Maria M Mullis
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0781 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1861708075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DR",
"address_2": "STE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2400",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 EASTCHESTER DR",
"address_2": "SUITE 200",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272653170",
"telephone_number": "336-802-2536",
"fax_number": "336-802-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINK",
"first_name": "MARIA",
"middle_name": "MULLIS",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "0781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107674",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "MULLIS",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.