Organization Active NPI

William a Mullane Psychologist PC

  • Psychologist
  • New York, NY
National Provider Identifier
1871917427
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020028 Issued in NY
Legal business name
WILLIAM A MULLANE PSYCHOLOGIST PC
Practice address
30 West 60TH Street
1R
New York, NY 10023
Phone
(347) 709-8496
Fax
(718) 645-1148
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
William Mullane, PH.DNPI 1750619102
Title
Ceo
Phone
(718) 645-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 020028 NY Primary

Addresses

Primary practice location

30 West 60TH Street
1R
New York, NY 10023

Mailing address

29 W. Devonia Avenue
Mount Vernon, NY 10552
Phone (516) 769-5965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902001161 NY Part B Supplier - Clinic/Group Practice 8426276551 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

119 W 57th St
Ste 808
New York, NY 10019
Phone (347) 709-8496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1871917427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W. DEVONIA AVENUE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10552",
            "telephone_number": "516-769-5965",
            "fax_number": "718-645-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST 60TH STREET",
            "address_2": "1R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "347-709-8496",
            "fax_number": "718-645-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A MULLANE PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "MULLANE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-645-1118",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.