DR. MICHAEL A MAULDIN (NPI# 1568602399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568602399 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A MAULDIN |
| Credential | PH.D. |
| Practice Address |
154 Anya Rd Corrales NM 87048 |
| Mailing Address |
154 Anya Rd Corrales NM 87048-8581 |
| Practice Telephone | 5759376458 |
| Practice Fax Number | 5752575037 |
| Mailing Telephone | 5759376458 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 23088 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1072 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588670939 | Michael Landers Mauldin | Dentist | 501 Moore Ave, Portland, TX 78374-1605 | 2006-07-31 |
| Street Address |
154 ANYA RD |
| City | CORRALES |
| State | NM |
| Zip Code | 87048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447562145 | Michael Mauldin, Ph.d., L.L.C. | Psychologist | 154 Anya Rd, Corrales, NM 87048 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1770102618 | Lisa Garcia | Technician | 148 West Valverde Rd., Corrales, NM 87048 | 2020-04-10 |
| 1841690732 | Erica Jacknin | Art Therapist | 100 Sherlock Ct, Corrales, NM 87048 | 2014-08-27 |
| 1821331182 | Celia Janet Larcom | Massage Therapist | 4650 Corrales Rd., Bldg. B, Corrales, NM 87048 | 2013-04-04 |
| 1740538693 | Angel Paths Therapy | Voluntary or Charitable | 817 West Ella, Corrales, NM 87048 | 2012-08-27 |
| 1013207356 | Meta, Inc. | Community/Behavioral Health | 4813 Corrales Road, Corrales, NM 87048 | 2011-04-07 |
| 1154568087 | Maria C Chavez | Counselor | 218 Broadway Ave, Abq, NM 87048 | 2009-01-14 |
| 1104073451 | Changing Life's Direction, LLC | Community/Behavioral Health | 4627 Corrales Rd., Corrales, NM 87048 | 2008-08-19 |
| 1467613604 | Natalie M Naranjo-rodriguez | Counselor | 20 Camino Vega Verde, Corrales, NM 87048 | 2008-06-20 |
| 1992911432 | Lorraine Ann Goss | Nurse Practitioner | 5 Camino Del Sol St., Corales, NM 87048 | 2007-05-14 |
| Find all providers in zip 87048 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366056 | Katherine Imislund-clark, Lpcc | Psychologist | 122 Girard Blvd Se Apt B, Albuquerque, NM 87106-2286 | 2020-11-02 |
| 1952901647 | Debra Ann Carter Lpcc LLC | Psychologist | 3321b Candelaria Rd Ne Ste 402, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1417564568 | Sacred Soul Psychology Inc | Psychologist | 4362 Village Loop, Santa Fe, NM 87507-1833 | 2020-09-23 |
| 1831710490 | Zia Community Cares, LLC | Psychologist | 5400 Gibson Blvd, Building 11, Albuquerque, NM 87108-8710 | 2020-05-05 |
| 1962974600 | Jeffrey Alan Franken | Psychologist | 9 Calle Ponderosa, Placitas, NM 87043-9328 | 2018-12-19 |
| 1629558838 | Ocotillo Psychological Services LLC | Psychologist | 2801 Missouri Ave Ste 36, Las Cruces, NM 88011-9151 | 2018-08-16 |
| 1770087520 | Catherine Hammitt | Psychologist | 701 Los Lentes Rd Ne, Los Lunas, NM 87031-7362 | 2018-03-19 |
| 1629585534 | Tracie Hitter | Psychologist | 1830 Myrtle Ave, Las Cruces, NM 88001-5245 | 2018-01-02 |
| 1154792919 | James M Nolan | Psychologist | 4719 Contenta Rdg, Santa Fe, NM 87507-6603 | 2015-10-19 |
| 1528450061 | Giving Tree Counseling, LLC | Psychologist | 8901 San Diego Ave Ne, Albuquerque, NM 87122-3636 | 2015-02-20 |
| Find all providers with the same taxonomy | ||||
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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.