TIMOTHY EDWARD MULLIGAN (NPI# 1275031700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275031700 |
| Entity Type | Individual |
| Full Name | TIMOTHY EDWARD MULLIGAN |
| Practice Address |
777 Seaview Ave Staten Island NY 10305-3409 |
| Practice Telephone | 7186672600 |
| Mailing Telephone | 7186672600 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740218437 | Timothy Rogers Mulligan | Internal Medicine | 1850 Sullivan Ave Ste 115, Daly City, CA 94015-2209 | 2006-06-29 |
| 1619924099 | Timothy R Mulligan | Internal Medicine | 759 Chestnut St, Springfield, MA 01107-1619 | 2006-05-30 |
| Street Address |
777 SEAVIEW AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396729919 | Matthew Schwartz | Psychiatry & Neurology | 777 Seaview Ave, Building 10, Staten Island, NY 10305-3436 | 2005-12-06 |
| 1922607795 | Bena Doris Ojeh | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-10-22 |
| 1104425974 | Joseph Russo | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-10-22 |
| 1891302915 | Divya Jose | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-09-24 |
| 1215540893 | Christie Eden Refano | Social Worker | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-08-25 |
| 1326663287 | Ralph Daniel Alunan | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-06-16 |
| 1518589365 | Renu Stephen | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-05-15 |
| 1750902565 | Marie Feaser | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-05-04 |
| 1457972473 | Melanie Raz | Nurse Practitioner | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-04-30 |
| 1649890385 | Jihan Chen | Counselor | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528484144 | Stephanie Alexander X | Psychologist | 18 Villanova St, Staten Island, NY 10314-6032 | 2014-03-06 |
| 1699017418 | Nitsana Moyal | Psychologist | 965 Willowbrook Rd, Staten Island, NY 10314-4271 | 2013-03-19 |
| 1790029148 | Marie Biancaniello | Psychologist | 24 Don Ct, Staten Island, NY 10312-1574 | 2012-11-23 |
| 1598039083 | Jeane Rajacic-poppe | Psychologist | 2286 Richmond Rd, Staten Island, NY 10306-2563 | 2012-02-29 |
| 1811274111 | Zenia Ruby | Psychologist | 3575 Richmond Rd, Staten Island, NY 10306-1429 | 2011-11-15 |
| 1710203393 | Charles Destefano | Psychologist | 77 Governor Rd, Staten Island, NY 10314-3021 | 2010-04-08 |
| 1558599639 | Vikki Palmer | Psychologist | 2702 Richmond Ter, Staten Island, NY 10303-2313 | 2009-06-26 |
| 1841426665 | Bertram Oliver Ploog | Psychologist | 56 Saint Marks Pl, Staten Island, NY 10301-1607 | 2009-06-08 |
| 1306046313 | Lauren Weissman | Psychologist | 25 President St, Staten Island, NY 10314-4119 | 2007-07-19 |
| 1023136967 | Noah Malowitzky | Psychologist | 483 Harold St, Staten Island, NY 10314 | 2007-03-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.