MR. SHANE J MULLEN LCP
NPI 1174640742
Psychologist - Clinical Child & Adolescent in Topeka, KS

NPI Status: Active since March 26, 2007

Contact Information

2950 SW WOODSIDE DR
TOPEKA, KS
ZIP 66614
Phone: (785) 272-5134
Fax: (785) 272-4370

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  • Individual
  • Male
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance

About SHANE MULLEN

This page provides the complete NPI Profile along with additional information for Shane Mullen, a provider established in Topeka, Kansas with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1174640742 assigned on March 2007. The practitioner's primary taxonomy code is 103TC2200X with license number 052 (KS). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1174640742
Provider Name
MR. SHANE J MULLEN LCP
Gender
Male
Entity Type
Individual
Location Address
2950 SW WOODSIDE DR TOPEKA, KS 66614
Location Phone
(785) 272-5134
Location Fax
(785) 272-4370
Mailing Address
2001 MEADOWLARK LN EMPORIA, KS 66801
Mailing Phone
(620) 341-0865
Is Sole Proprietor?
No
Enumeration Date
03-26-2007
Last Update Date
05-29-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
052
License State
KS
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

052 (KS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Simple - EPO
  • Silver Classic Standard - EPO
  • Silver Elite Saver Plus - EPO
  • Silver Simple Diabetes - EPO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200434290BMEDICAID (05)KS 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174640742, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 2 + 4 + 0 + 7 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174640742.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Counselor (Mental Health)
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Social Worker
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Social Worker
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Social Worker (Clinical)
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Social Worker (Clinical)
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Counselor (Mental Health)
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Social Worker (Clinical)
2950 SW WOODSIDE DR
TOPEKA, KS 66614
Clinic/Center (Adult Mental Health)
2950 SW WOODSIDE DR
TOPEKA, KS 66614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174640742, enumerated as an "individual" on March 26, 2007.

The provider is located at 2950 SW WOODSIDE DR TOPEKA, KS 66614 and the phone number is (785) 272-5134.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc., Oscar. Please consult your insurance carrier or call the provider to verify.