LARRY MULLIN (NPI# 1700198728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700198728 |
| Entity Type | Individual |
| Full Name | LARRY MULLIN |
| Credential | LMHC, MA |
| Practice Address |
10 Concord Ave Cambridge MA 02138-2322 |
| Practice Telephone | 6172303932 |
| Mailing Telephone | 6172303932 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
10 CONCORD AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043271471 | Leslie Cutler | Social Worker | 10 Concord Ave, Cambridge, MA 02138-2322 | 2006-03-28 |
| 1245840412 | Clinton Fuller | Behavioral Analyst | 10 Concord Ave, Cambridge, MA 02138-2322 | 2020-08-03 |
| 1356974224 | Carissa Melillo LLC | Clinic/Center | 10 Concord Ave, Cambridge, MA 02138-2322 | 2020-02-19 |
| 1114409489 | Clinical Alliances Services, LLC | Psychologist | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-09-04 |
| 1578049037 | Kristen E. Bettencourt | Psychologist | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-07-17 |
| 1629564513 | Renee Jane Outland | Occupational Therapist | 10 Concord Ave, Cambridge, MA 02138 | 2018-07-03 |
| 1205329323 | Karen Melissa Stufflebeam | Psychologist | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-06-13 |
| 1457869745 | Courtney Ann Rotolo | Social Worker | 10 Concord Ave, Cambridge, MA 02138-2322 | 2018-01-20 |
| 1215455340 | Alison Mamatey | Counselor | 10 Concord Ave, Cambridge, MA 02138-2322 | 2017-09-09 |
| 1851814917 | Pax Et Bonum Psychological Services, LLC | Clinic/Center | 10 Concord Ave, Cambridge, MA 02138-2322 | 2017-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881726 | Khemenec Pantin | Counselor | 66 Reed Street Ct # 2, Cambridge, MA 02140-2417 | 2017-03-03 |
| 1215481965 | Nicole Youngwirth | Counselor | 77 Inman St, Cambridge, MA 02139-1212 | 2016-08-11 |
| 1669715488 | Josiane Julmeus | Counselor | 120 1/2 Pleasant St Apt 5, Cambridge, MA 02139-4438 | 2013-03-29 |
| 1326388760 | Joel Brisson | Counselor | 34 Mount Auburn St # 32a, Cambridge, MA 02138-6038 | 2013-02-21 |
| 1326394313 | Michael Donnelly | Counselor | 8 Woodrow Wilson Ct Apt 56, Cambridge, MA 02139-4462 | 2012-07-27 |
| 1255602520 | Eva Johanna Paddock | Counselor | 312 Walden St, Cambridge, MA 02138-1344 | 2012-01-19 |
| 1376826057 | Michael Coleman | Counselor | 448 Cambridge St, Apt. 2, Cambridge, MA 02141-1113 | 2011-09-20 |
| 1457689960 | Lynn A. Roberson | Counselor | 49 Hancock St., Cambridge, MA 02140 | 2009-11-20 |
| 1386846400 | Elke Schlager Andrews | Counselor | 119 Windsor Street, Cambridge, MA 02139 | 2007-06-01 |
| 1740499698 | Meredith Kantor | Counselor | 7 Shepard St, Cambridge, MA 02138-1711 | 2007-05-21 |
| Find all providers in CAMBRIDGE | ||||
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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.