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Dr. Michael Patrick Mullane , PhD

Psychologist β€’ Somerville, MA

Active NPI 1295251056 Individual Practitioner Male Practitioner
Practice location in NPPES

33 Tower St
Somerville, MA 021431426

Call 6175914245 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

33 Tower St

Somerville, MA 021431426

Telephone 6175914245
Organization at the Same NPPES Address or Phone
Cambridge Public Health Commission Facility NPI 1780214338

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mullane has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mullane as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Somerville and Massachusetts

28 active clinicians are listed under Psychologist with a practice address in Somerville, MA (2,367 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Somerville

7.1% of these 28 clinicians have the CMS telehealth indicator.

10.7% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-05
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MA 11154

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MA 3927

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES ME PS1836

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES NY 023447

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20240905003935

Enrollment State Jurisdiction

WA

PECOS Control ID

2961828280

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kelly Mahoney , PMHNP- BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1922580026

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location May 05, 2023

Registered at 33 TOWER ST, SOMERVILLE, MA 021431426 (Tel: 6175914245)

πŸ“
Updated Business Mailing Address May 05, 2023

Registered at 33 TOWER ST, SOMERVILLE, MA 021431426 (Tel: 6175914245)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2023

Psychologist (license number reported to NPPES: MA 11154)

πŸ“
Updated Practice Location July 08, 2020

Registered at 123 ANDOVER RD, WESTBROOK, ME 040923848 (Tel: 2077612200)

πŸ“
Updated Business Mailing Address July 08, 2020

Registered at 123 ANDOVER RD, WESTBROOK, ME 040923848 (Tel: 2077612200)

πŸ“
Updated Practice Location October 07, 2019

Registered at 101 E 56TH ST, NEW YORK, NY 10022 (Tel: 6468635485)

πŸ‘€
Provider Name / Credentials Updated October 07, 2019

Recorded as MICHAEL MULLANE, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2019

Psychologist (license number reported to NPPES: NY 023447)

βœ…
NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 14, 2017

Registered at 444 S 44TH ST, OMAHA, NE 681313727 (Tel: 4025593563)

πŸ“
Business Mailing Address (Initial Record) August 14, 2017

Registered at 985450 NEBRASKA MEDICAL CTR, OMAHA, NE 681985450

πŸ‘€
Provider Name / Credentials (Initial Record) August 14, 2017

Recorded as MICHAEL MULLANE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration August 14, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295251056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2017
Last Update: May 05, 2023
Sole Proprietor: No

Other Psychologists in Somerville

Healthcare providers in Somerville

Mailing Address

33 Tower St

Somerville, MA 021431426

Phone: 6175914245

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.