DR. MICHAEL E. MULLAN (NPI# 1700078011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700078011 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E. MULLAN |
| Credential | PSY.D. |
| Practice Address |
155 S 5th St Coalinga CA 93210-1903 |
| Mailing Address |
1479 W Lacey Blvd Hanford CA 93230-5906 |
| Practice Telephone | 5599354282 |
| Practice Fax Number | 5599354285 |
| Mailing Telephone | 5595834617 |
| Mailing Fax Number | 5595834625 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21513 | CA | Behavioral Health & Social Service Providers |
| Street Address |
155 S 5TH ST |
| City | COALINGA |
| State | CA |
| Zip Code | 93210-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972586386 | Reedley Community Hospital | Clinic/Center | 155 S 5th St, Coalinga, CA 93210-1903 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684257 | Corrections and Rehabilitation | Pharmacy | 24863 W. Jayne Avenue, Coalinga, CA 93210 | 2020-03-12 |
| 1710524293 | Harpreet Kaur Badhesha | Registered Nurse | 191 E Polk St, Coalinga, CA 93210 | 2019-12-04 |
| 1669019139 | Avenal Community Health Center | Clinic/Center | 191 E Polk St., Coalinga, CA 93210 | 2019-12-04 |
| 1194218503 | Elizabeth Armstrong | Registered Nurse | 400 W Forest Ave, Appartment # 133, Coalinga, CA 93210 | 2018-06-11 |
| 1003151713 | Porfirio Ramos | Pharmacist | 24511 W. Jayne Avenue, Coalinga State Hospital Pharmacy Department, Coalinga, CA 93210 | 2012-12-06 |
| 1548504251 | Tonya Kay Green | Pharmacist | 265 Forrest Street, Coalinga, CA 93210 | 2012-11-19 |
| 1205105772 | Ratana Yun | Pharmacist | 24863 W. Jayne Ave, Pvsp Pharmacy Department, Coalinga, CA 93210 | 2011-12-29 |
| 1326374166 | Valerie Ann Kelly | Social Worker | 24683 W. Jayne Ave, Coalinga, CA 93210 | 2009-10-29 |
| 1427298850 | Michael Torres Rodriguez I | Counselor | 25863 Jayne Avenue, Coalinga, CA 93210 | 2009-02-25 |
| 1659537819 | Ikumi Hirashima Bisbee | Registered Nurse | 2455 W. Jayne Ave., Coalinga, CA 93210 | 2008-08-06 |
| Find all providers in zip 93210 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477880052 | Henry Eugene Adams | Psychologist | Coalinga State Hospital, 24511 West Jayne Avenue, Coalinga, CA 93210-9778 | 2009-11-03 |
| 1003086885 | John Bradley Lumpkin | Psychologist | 24863 Jayne Ave., Coalinga, CA 93210-8500 | 2008-03-07 |
| 1649815580 | Brittany Shaffer | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-11-14 |
| 1093289860 | David Aitken Jr. | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-01-15 |
| 1790207231 | Sangil Kwon | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2017-07-15 |
| 1942696893 | Sara S Arad | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2015-04-07 |
| 1053710137 | Tricia Busby | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2014-08-14 |
| 1366871436 | Michael Martin | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-11-08 |
| 1720420664 | Candy Soares | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-07-19 |
| 1740620277 | Neil Martin Waugh | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-06-28 |
| Find all providers in COALINGA | ||||
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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.