DR. LOUISE M MULLAN (NPI# 1063643005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063643005 |
| Entity Type | Individual |
| Full Name | DR. LOUISE M MULLAN |
| Credential | M.D. |
| Practice Address |
203 W 12th St Suite 435, 4th Floor New York NY 10011-7762 |
| Mailing Address |
580 White Plains Rd Ste 510 Tarrytown NY 10591-5152 |
| Practice Telephone | 1212604874 |
| Practice Fax Number | 2126042547 |
| Mailing Telephone | 9143455900 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
203 W 12TH ST SUITE 435, 4TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10011-7762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679520696 | Nina Mcgowan | Psychiatry & Neurology | 203 W 12th St, Room 625, New York, NY 10011-7762 | 2006-05-27 |
| 1144534017 | Lauren Bryce | Social Worker | 203 W 12th St, Suite 1022, New York, NY 10011-7762 | 2010-08-03 |
| 1083847461 | Mary Montemurro | Registered Nurse | 203 W 12th St, 616, New York, NY 10011-7762 | 2009-09-01 |
| 1114165131 | Stephanie Robin Sacks | Social Worker | 203 W 12th St, Rm. 613, New York, NY 10011-7762 | 2009-01-29 |
| 1528217874 | Liza Ness | Social Worker | 203 W 12th St, New York, NY 10011-7762 | 2008-09-11 |
| 1447409842 | Michelle Cobbs-hardy | Counselor | 203 W 12th St, O'toole - 3rd Floor, New York, NY 10011-7762 | 2008-09-10 |
| 1083863583 | Julie Arner | Counselor | 203 W 12th St, Suite 617, New York, NY 10011-7762 | 2008-09-09 |
| 1104074020 | Paul Eder | Psychiatry & Neurology | 203 W 12th St, 441, New York, NY 10011-7762 | 2008-09-04 |
| 1962650770 | Zdena Rubin | Psychologist | 203 W 12th St, Room 450, New York, NY 10011-7762 | 2008-09-04 |
| 1588812317 | Merita Halilhodzic | Student in an Organized Health Care Education/Training Program | 203 W 12th St, New York, NY 10011-7762 | 2008-09-04 |
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| 1619441276 | Deify Laser & Beauty Lounge | Specialist | 134 W. 23rd St., New York, NY 10011 | 2019-01-17 |
| 1215408117 | Habitat Specialty Pharmacy, Inc. | Pharmacy | Habitat Specialty Pharmacy, Inc, 171 Seventh Ave, New York, NY 10011 | 2018-12-17 |
| 1518437136 | Melissa Kate Mcintosh, Inc. | Counselor | 167 W. 21st St., #3se, Ny, NY 10011 | 2018-11-26 |
| 1700367851 | Chana Zigelboym | Speech-Language Pathologist | 353 W 17th St, New York, NY 10011 | 2018-08-27 |
| 1376042358 | Claudia Eleanore Lament | Social Worker | 31 Washington Square West, Pha, New York, NY 10011 | 2018-02-06 |
| 1023527611 | Linda Jacobs | Psychologist | 96 5th Avenue, Sutie 1d, New York, NY 10011 | 2017-09-26 |
| 1861919359 | Ireen Miras Ninonuevo | Social Worker | 80 5th Ave Ofc 2004-6, New York, NY 10011 | 2017-08-24 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1265931984 | Nyc Therapeutic Wellness | Clinic/Center | 303 5th Ave Rm 606, New York, NY 10016-6685 | 2018-02-08 |
| 1447707146 | Gary M Prottas, Lcsw Psychotherapist Pllc | Clinic/Center | 20 West 20th Street, Room 239, New York, NY 10011-4313 | 2016-09-09 |
| 1881043370 | Margaret M. Rombone, Ph.d. | Clinic/Center | 51 E 25th St Ste 7h, New York, NY 10010-8209 | 2016-06-06 |
| 1003270224 | Peter Reznik | Clinic/Center | 1641 3rd Ave Ste 201, New York, NY 10128-3623 | 2016-04-13 |
| 1417313024 | Jerome Boling | Clinic/Center | 2090 7th Ave Fl 4, New York, NY 10027-4941 | 2016-01-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.