John A Mullen, PHD - Psychologist in Racine, WI

John A Mullen, PHD is a Psychologist - Clinical based in Racine, Wisconsin. John A Mullen is licensed to practice in Wisconsin (license number 517-057) and his current practice location is 1244 Wisconsin Ave, Suite 303, Racine, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 635-5520.

NPI number for John A Mullen is 1700873577 and his current mailing address is 1244 Wisconsin Ave, Suite 303, Racine, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700873577.

Contact Information

John A Mullen, PHD
1244 Wisconsin Ave, Suite 303,
Racine, WI 53403-1987
(262) 635-5520
(262) 635-5530



Healthcare Provider's Profile

Full NameJohn A Mullen
GenderMale
SpecialityPsychologist - Clinical
Location1244 Wisconsin Ave, Racine, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700873577
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for John A Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700873577NPI-NPPES
39076500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 517-057 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John A Mullen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John A Mullen, PHD
1244 Wisconsin Ave, Suite 303,
Racine, WI 53403-1987

Ph: (262) 635-5520
John A Mullen, PHD
1244 Wisconsin Ave, Suite 303,
Racine, WI 53403-1987

Ph: (262) 635-5520

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› Verified 4 days ago


Psychologist in Racine, WI

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