Thomas David Mulderink

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20043019A Issued in IN

Practice address

3900 Washington Ave
Ste 100
Evansville, IN 47714-0550

Phone

(812) 485-6694

NPI assigned

Jun 24, 2015

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 IN

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.mulderink.2@7598.direct.athenahealth.com
• Direct secure messaging: thomas.mulderink.3@7598.direct.athenahealth.com

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.

• St Vincent Pediatric Subspecialties

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1013967736
  Medicare reassignment NPD
• St. Mary'S Health, Inc

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287

  Clinical

  Medicare reassignment NPD
• St Vincent Pediatric Subspecialties

  • Pediatric Critical Care Medicine Physician
  • Evansville, IN
  • NPI 1851950224
  NPD
• St. Mary'S Health, Inc

  • Hematology & Oncology Physician
  • Newburgh, IN
  • NPI 1952101214
  NPD

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1982086153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE # 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WASHINGTON AVE",
            "address_2": "STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140550",
            "telephone_number": "812-485-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDERINK",
        "first_name": "THOMAS",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043019A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahid Mufti, MD
• Tahir Idris Mufti, MD
• Tehmina Mufti
• Romaric Bantumbakulu Mukuna, MD
• Mulberry Center, Inc.
• Jamie L Mull, MD
• Jill Muller, PHARMD
• Tara Elizabeth Mullins, LCSW
• Kelly A Mundell, MSW LCSW
• Samuel S Murala, M.D.,

• Clinical Psychologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.