KELLY F TATARELLI-MULLINS (NPI# 1588997639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588997639 |
| Entity Type | Individual |
| Full Name | KELLY F TATARELLI-MULLINS |
| Credential | BS |
| Practice Address |
3300 Washtenaw Ave Suite 260 Ann Arbor MI 48104-4200 |
| Practice Telephone | 7346770200 |
| Practice Fax Number | 7346773310 |
| Mailing Telephone | 7346770200 |
| Mailing Fax Number | 7346773310 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T364465261964 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3300 WASHTENAW AVE SUITE 260 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295805125 | Patricia Bernard Haber | Social Worker | 3300 Washtenaw Ave, Suite 260, Ann Arbor, MI 48104 | 2006-11-08 |
| 1235546193 | Citta Mental Health Services | Nurse Practitioner | 3300 Washtenaw Ave, Suite 295, Ann Arbor, MI 48104-4200 | 2014-07-11 |
| 1972829174 | Robert Sain | Psychiatry & Neurology | 3300 Washtenaw Ave, Suite 275, Ann Arbor, MI 48104-4200 | 2010-04-13 |
| 1235324484 | Thera Support | Physical Therapist | 3300 Washtenaw Ave, Suite 295, Ann Arbor, MI 48104 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801344908 | Matthew Statman | Counselor | 1705 Pontiac Trl, Ann Arbor, MI 48105-1722 | 2016-09-17 |
| 1063831501 | Jill Kent | Counselor | 502 W Huron St, Ann Arbor, MI 48103-4208 | 2014-04-14 |
| 1003180878 | Robin Dawn Edison | Counselor | 5656 Le Blanc Ave, Ann Arbor, MI 48103-9394 | 2012-02-27 |
| 1376536367 | Sandra Lea Samons | Counselor | 1480 Shevchenko Dr, Ann Arbor, MI 48103-9001 | 2005-08-25 |
| 1043811656 | Taylor Bechard | Counselor | 502 W Huron St, Ann Arbor, MI 48103-4208 | 2020-11-02 |
| 1851933741 | Theodore Heaton | Counselor | 315 N Main St, Ann Arbor, MI 48104-1133 | 2019-10-11 |
| 1801396874 | Jillian Marie Rizk | Counselor | 522 S Maple Rd, Ann Arbor, MI 48103-3837 | 2018-02-16 |
| 1992213995 | Megan Elizabeth Sanford | Counselor | 320 Miller Ave Ste 100, Ann Arbor, MI 48103-3385 | 2018-01-12 |
| 1649784448 | John N Worthy | Counselor | 320 Miller Ave Ste 100, Ann Arbor, MI 48103-3385 | 2017-12-01 |
| 1992219497 | Tiffany Schultz | Counselor | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2017-11-21 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on KELLY F TATARELLI-MULLINS.
| 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.