DR. AMANDA MULLEN (NPI# 1376509752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376509752 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MULLEN |
| Credential | PSY.D. |
| Practice Address |
25 Main St Suite 208 Northampton MA 01060-3109 |
| Practice Telephone | 4135859991 |
| Practice Fax Number | 4135859902 |
| Mailing Telephone | 4135859991 |
| Mailing Fax Number | 4135859902 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8231 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316329212 | Amanda Mullen | Speech-Language Pathologist | 180 Orange Rd, Apt 5b, Montclair, NJ 07042-2644 | 2015-06-26 |
| 1336636778 | Amanda Mullen | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004 | 2018-04-20 |
| Street Address |
25 MAIN ST SUITE 208 |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881165975 | Kelsey Baumgarten | Dietitian, Registered | 25 Main St, Northampton, MA 01060-3109 | 2018-12-16 |
| 1538514385 | Jeanne Schubmehl | Occupational Therapist | 25 Main St, Suite 212, Northampton, MA 01060-3109 | 2016-04-29 |
| 1962857177 | Changing Minds | Psychologist | 25 Main St, Suite 220, Northampton, MA 01060-3109 | 2016-04-26 |
| 1366717225 | Courtney Hill Wulsin | Acupuncturist | 25 Main St, Suite 221, Northampton, MA 01060-3109 | 2012-03-12 |
| 1558594473 | Patricia Candee Gibbs | Massage Therapist | 25 Main St, Suite 211, Northampton, MA 01060-3109 | 2009-08-26 |
| 1427299791 | Norma J. Johnson | Psychologist | 25 Main St, #217, Northampton, MA 01060-3109 | 2009-03-17 |
| 1851544910 | Leslie Bennett | Marriage & Family Therapist | 25 Main St, 330, Northampton, MA 01060-3109 | 2008-11-02 |
| 1588854095 | Jennifer A Hydefrost | Midwife, Lay | 25 Main St, Suite 221, Northampton, MA 01060-3109 | 2007-07-31 |
| 1679696090 | Thomas Arnold | Physical Therapist | 25 Main St, Suite 202, Northampton, MA 01060-3109 | 2007-04-09 |
| 1528180486 | Deborah J Burkhalter | Social Worker | 25 Main St, Suite 203, Northampton, MA 01060-3130 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
| 1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
| 1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
| 1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
| 1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
| 1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
| 1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
| 1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
| 1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
| Find all providers in zip 01060 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245729144 | Sheryl S Waxler | Psychologist | 50 Center St Ste 6, Northampton, MA 01060-3402 | 2018-05-07 |
| 1013041599 | Jill D Montgomery | Psychologist | 58 Belmont Ave, Northampton, MA 01060-3718 | 2007-03-15 |
| 1942336201 | Peter Gilford | Psychologist | 13 Old South St Ste 2h, Northampton, MA 01060-3841 | 2007-02-23 |
| 1083752786 | Maria De Lourdes Mattei | Psychologist | 43 Center St Ste 203, Northampton, MA 01060-3062 | 2007-02-02 |
| 1770672487 | Sharon Saline | Psychologist | 43 Center St Ste 303, Northampton, MA 01060-3062 | 2006-10-12 |
| 1316047244 | Gordon M. Grant | Psychologist | 8 Trumbull Rd., Northampton, MA 01060 | 2006-09-22 |
| 1518072610 | Frank Marotta | Psychologist | 155 Main St Ste 2, Northampton, MA 01060-3126 | 2006-08-20 |
| 1467463612 | Beth Tabor Lev | Psychologist | 13 Old South St, Ste 1b, Northampton, MA 01060-3870 | 2006-08-11 |
| 1376554063 | Benjamin C Addleson | Psychologist | 25 Main St Ste 212, Northampton, MA 01060-3130 | 2006-08-10 |
| 1982632139 | Marie R. Hartwell-walker | Psychologist | 111 Pleasant St, Northampton, MA 01060-3924 | 2006-06-28 |
| Find all providers in NORTHAMPTON | ||||
| City | NORTHAMPTON |
| Zip Code | 01060 |
Please comment or provide details below to improve the information on DR. AMANDA MULLEN.
| 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.