DR. RAYMOND DAVID MULLIGAN (NPI# 1265765994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765994 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND DAVID MULLIGAN |
| Credential | PSYD, MBA |
| Practice Address |
431 Snowy Egret Lane Kiawah Island SC 29455 |
| Mailing Address |
431 Snowy Egret Lane R D Mulligan, LLC Kiawah Island SC 29455 |
| Practice Telephone | 6102164736 |
| Practice Fax Number | 6108675003 |
| Mailing Telephone | 6102164736 |
| Mailing Fax Number | 6108675003 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2015-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1356 | SC | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PS016669 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAQH | 12013691 | 01 |
| Street Address |
431 SNOWY EGRET LANE |
| City | KIAWAH ISLAND |
| State | SC |
| Zip Code | 29455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| 1629181011 | Gregory A Hancock | Dentist | 2754 Maybank Hwy, Ste A, Johns Island, SC 29455 | 2006-08-17 |
| Find all providers in zip 29455 | ||||
| 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 |
|---|---|---|---|---|
| 1326653957 | Brittany A Soto | Psychologist | 2038 Lake Murray Blvd Apt 8203, Columbia, SC 29212-0843 | 2020-09-10 |
| 1871102186 | Stephanie P Goins | Psychologist | 704 Shefwood Dr, Easley, SC 29642-3336 | 2020-07-23 |
| 1659993301 | Alice Huang | Psychologist | 3 Sawgrass Rd Apt A7, Charleston, SC 29412-2580 | 2020-05-15 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1003458753 | Risa Byars, LLC | Psychologist | 25 Thurmond Way Unit 3004, Bluffton, SC 29910-9224 | 2019-10-15 |
| 1750930889 | Little Tree Psychological Services | Psychologist | 800 Whitworth Cir Ste B, Seneca, SC 29672-9432 | 2019-09-11 |
| 1932757127 | Brienne Allen Schaeffer | Psychologist | 1409 Devine St Fl 3, Columbia, SC 29208-3902 | 2019-08-30 |
| 1205480217 | Thomas Howard Hutchison | Psychologist | 1124 Pine Croft Dr, West Columbia, SC 29170-3139 | 2019-07-29 |
| 1285192120 | Doris Paez | Psychologist | 1024 Wildwood Centre Dr Ste A, Columbia, SC 29229-8400 | 2019-03-11 |
| 1942767538 | Jennifer Nicole Merrifield | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2019-03-01 |
| Find all providers with the same taxonomy | ||||
| City | KIAWAH ISLAND |
| Zip Code | 29455 |
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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.