AUDRINA ALEXIS MULLANE (NPI# 1275790461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275790461 |
| Entity Type | Individual |
| Full Name | AUDRINA ALEXIS MULLANE |
| Credential | PH.D. |
| Practice Address |
534 Pleasant View Way Nw Ste 200 Albany OR 97321-1789 |
| Mailing Address |
Po Box 1188 Corvallis OR 97339-1188 |
| Practice Telephone | 5418125760 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2715 | OR | Behavioral Health & Social Service Providers |
| Street Address |
534 PLEASANT VIEW WAY NW STE 200 |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255877 | Andrea Marie Jackson | Psychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2017-06-15 |
| 1790039063 | Lindsey Erinn Felix | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385432 | How 'fryed' Am I LLC | Clinical Neuropsychologist | 46 Colonial Ave, Suite A, Albany, NY 12203-2012 | 2016-02-01 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1518184712 | Comprehensive Neuropsychological Services, Pllc | Clinical Neuropsychologist | 490 Western Ave, Albany, NY 12203-1513 | 2007-04-19 |
| 1710029434 | George Barrett Litchford | Clinical Neuropsychologist | 67 S Lake Ave, Albany, NY 12203-1103 | 2007-02-12 |
| 1790868859 | Jeanne Kostas | Clinical Neuropsychologist | 245 Lark St, Albany, NY 12210-1149 | 2006-10-23 |
| 1740206010 | Neuropsychologic Rehabilitation Services PC | Clinical Neuropsychologist | 300 Washington Ave. Ext., Albany, NY 12203 | 2006-07-13 |
| 1194766873 | Mccaffrey Psychological PC | Clinical Neuropsychologist | 1740 Western Avenue, Suite 100, Albany, NY 12203-4414 | 2006-06-10 |
| 1558320572 | South Georgia Neuropsychological Associates | Clinical Neuropsychologist | 1211 Palmyra Rd, Albany, GA 31701-1935 | 2006-03-20 |
| 1790039063 | Lindsey Erinn Felix | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2012-11-07 |
| 1750661211 | Robert Ryan Fallows | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2011-08-27 |
| Find all providers in ALBANY | ||||
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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.