RICHARD MULRENIN (NPI# 1013228071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013228071 |
| Entity Type | Individual |
| Full Name | RICHARD MULRENIN |
| Credential | LPC |
| Practice Address |
120 Hospital Dr Ste 100 Lebanon MO 65536-9238 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4175336751 |
| Practice Fax Number | 4175336755 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2011028486 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1013228071 | 05 | |
| MO | TRICARE | 431560263 | 01 |
| MO | MCR RR | P01137838 | 01 |
| Street Address |
120 HOSPITAL DR STE 100 |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-9238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023586 | Alyssa Lynn Wright | Nurse Practitioner | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2017-10-10 |
| 1922457886 | Katherine Becker | Nurse Practitioner | 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 | 2016-06-10 |
| 1760841571 | Alysa Barcus | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2016-02-22 |
| 1134595952 | David Houzenga | Nurse Anesthetist, Certified Registered | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2015-08-16 |
| 1124403944 | Lisa M. Boggs | Nurse Practitioner | 120 Hospital Dr, Suite 300, Lebanon, MO 65536-9238 | 2015-07-22 |
| 1578901773 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 225, Lebanon, MO 65536-9238 | 2013-06-10 |
| 1366880874 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2013-06-06 |
| 1457798167 | Mercy Hospital Lebanon | Clinic/Center | 120 Hospital Dr, Suite 300/350, Lebanon, MO 65536-9238 | 2013-06-04 |
| 1134478738 | Rajasekhar Tanikella | Hospitalist | 120 Hospital Dr, Lebanon, MO 65536-9238 | 2012-08-29 |
| 1063784411 | Morgana Hazell | Counselor | 120 Hospital Dr, Suite 100, Lebanon, MO 65536-9238 | 2012-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
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| 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 |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1164932083 | Kimberly Anne Lovelock | Psychologist | 964 Isabel Dr, Lebanon, PA 17042-7482 | 2017-10-05 |
| 1073731667 | Michael W Mills | Psychologist | Po Box 766, Lebanon, NH 03766-0766 | 2007-04-22 |
| 1518035005 | Karen Lee Gillock | Psychologist | 115 Etna Rd, Building 1, Suite 2, Lebanon, NH 03766-1429 | 2006-12-01 |
| 1255431037 | John Reynolds Fullerton | Psychologist | Va Medical Center (620), 1700 Lincoln Avenue, Lebanon, PA 17042-0000 | 2006-09-22 |
| 1003915786 | Peter J Garito | Psychologist | 94 Norway Ln, Lebanon, PA 17042-9098 | 2006-09-21 |
| 1306942693 | Evergreen Health Center, PC | Psychologist | 1859 S Jefferson Ave, Lebanon, MO 65536-4221 | 2006-09-15 |
| 1265466924 | Linda Julia Lee-dynes | Psychologist | 85 Mechanic St Ste 360, Lebanon, NH 03766-1500 | 2006-07-10 |
| 1194722181 | Roy A Smith Jr. | Psychologist | 200 N. 7th Street, Lebanon, PA 17046-5040 | 2005-07-05 |
| 1235647538 | Michael Jeffrey Itzkowitz | Psychologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2018-01-21 |
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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.