MRS. SUSAN TAYLOR MULLINS (NPI# 1205351251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205351251 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN TAYLOR MULLINS |
| Credential | ED.S |
| Practice Address |
628 Lake St Ne Wise VA 24293-7919 |
| Practice Telephone | 2763288017 |
| Practice Fax Number | 2763286608 |
| Mailing Telephone | 2763288017 |
| Mailing Fax Number | 2763286608 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0813000076 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720145824 | Susan Carolyn Mullins | Counselor | 2106 W Cass St, Tampa, FL 33606-1234 | 2007-01-02 |
| 1417959388 | Susan Elizabeth Mullins | Occupational Therapist | 348 8th St, Atlantic Beach, FL 32233-5436 | 2005-08-11 |
| 1306330329 | Susan Caroline Mullins | Case Manager/Care Coordinator | 311 Albert Sabin Way, Cincinnati, OH 45229-2838 | 2018-06-22 |
| 1952813180 | Susan Bergstrom Mullins | Physical Therapist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2017-10-27 |
| Street Address |
628 LAKE ST NE |
| City | WISE |
| State | VA |
| Zip Code | 24293-7919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992976740 | Deborah Goodman | Speech-Language Pathologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2008-03-20 |
| 1427524032 | Shaina Morgan Hall | Psychologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2018-10-22 |
| 1992209886 | Davina Anne Pate | Speech-Language Pathologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2018-03-23 |
| 1962919035 | Cari S. Braddock | Social Worker | 628 Lake St Ne, Wise, VA 24293-7919 | 2018-01-10 |
| 1093227407 | Kayla Brooke Tiller | Speech-Language Pathologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2017-10-26 |
| 1689185969 | Phyllis Houston Dishner | Occupational Therapy Assistant | 628 Lake St Ne, Wise, VA 24293-7919 | 2017-10-13 |
| 1275059362 | Janice Triplett | Speech-Language Pathologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2017-08-21 |
| 1487179438 | Maranda Vandyke Fuller | Psychologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2017-08-11 |
| 1235519968 | Joyce Addington | Nurse Practitioner | 628 Lake St Ne, Wise, VA 24293-7919 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442367 | New Hope Addiction Recovery Inc | Family Medicine | 106 Spring Avenue Ne, Wise, VA 24293 | 2020-06-23 |
| 1225652340 | Jessica Wertz | Technician | 7507 Caddo Rd, Wise, VA 24293 | 2020-06-04 |
| 1831743632 | Ttgi2 LLC | Pharmacy | 426 West Main Street, Wise, VA 24293 | 2019-07-30 |
| 1861919730 | Mckenzie Grace Trotter | Speech-Language Pathologist | 324 School Ave Southeast, Wise, VA 24293 | 2017-08-23 |
| 1043734023 | 3 Guys Transport LLC | Non-emergency Medical Transport (VAN) | 5519 Pole Bridge Road, Wise, VA 24293 | 2017-08-01 |
| 1013352699 | Tester Chiropractic LLC. | Chiropractor | 411 East Main Street, Wise, VA 24293 | 2013-05-08 |
| 1861737181 | Family Preservation Services, Inc | Community/Behavioral Health | 5913 Airport Road, Wise, VA 24293 | 2012-11-28 |
| 1255614749 | Family Preservation Services, Inc | Community/Behavioral Health | 342 School Street, Wise, VA 24293 | 2011-09-21 |
| 1891013520 | Wise Rescue Squad Inc | Ambulance | 302 Railroad Ave, Wise, VA 24293 | 2010-05-05 |
| 1477784148 | Family Preservation Services, Inc. | Community/Behavioral Health | 117 Independence Avenue, Wise, VA 24293 | 2009-07-29 |
| Find all providers in zip 24293 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679098685 | Amy Elizabeth Brock | Psychologist | Po Box 1217, Wise, VA 24293-1217 | 2017-08-10 |
| 1003922972 | Wise County Public Schools | Psychologist | 628 Lake St, Wise, VA 24293 | 2006-08-22 |
| 1427524032 | Shaina Morgan Hall | Psychologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2018-10-22 |
| 1487179438 | Maranda Vandyke Fuller | Psychologist | 628 Lake St Ne, Wise, VA 24293-7919 | 2017-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299461 | Shelly Liaros | Psychologist | 405 Grafton Dr, Yorktown, VA 23692-2155 | 2020-09-10 |
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
| 1851948830 | Kyle Jacob Maziarski | Psychologist | 100 Panther Dr, Fredericksburg, VA 22406-7473 | 2019-08-23 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
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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.