DR. MICHAEL PATRICK MULLANE PHD
NPI 1295251056
Psychologist in Somerville, MA

Active since August 14, 2017PECOS Enrolled
33 TOWER ST, SOMERVILLE, MA 02143(617) 591-4245 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2023, Nov 11, 2020, Jul 8, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Michael Patrick Mullane Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL PATRICK MULLANE PHD (NPI 1295251056) is an individual psychologist in Somerville, Massachusetts, licensed in Massachusetts (11154) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295251056
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL PATRICK MULLANECredential: PHD
Location Address33 TOWER STSomerville, MA 02143-1426
Mailing Address33 Tower StSomerville, MA 02143-1426 · (617) 591-4245
Sole ProprietorNo
Enumeration DateAugust 14, 2017
Last NPPES UpdateMay 5, 20236 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1295251056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in MA · 11154✔ Licensed in ME · PS1836✔ Licensed in NY · 023447
Definition
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.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 3927 (MA)
33 TOWER ST, Somerville, MA 02143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Patrick Mullane Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Mullane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
969 STEVENS DR, SUITE 1B
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
33 TOWER ST
SOMERVILLE, MA 02143
Registered Nurse
33 TOWER ST
SOMERVILLE, MA 02143
Licensed Practical Nurse
33 TOWER ST
SOMERVILLE, MA 02143
Registered Nurse (Psychiatric/Mental Health, Adult)
33 TOWER ST
SOMERVILLE, MA 02143
Social Worker (Clinical)
33 TOWER ST
SOMERVILLE, MA 02143
Psychiatry & Neurology (Psychiatry)
33 TOWER ST
SOMERVILLE, MA 02143
Registered Nurse (Ambulatory Care)
33 TOWER ST
SOMERVILLE, MA 02143
Occupational Therapy Assistant
33 TOWER ST
SOMERVILLE, MA 02143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mullane's NPI number?

The NPI number for Michael Mullane is 1295251056. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Michael Mullane located?

Michael Mullane practices at 33 Tower St, Somerville, MA 02143. The listed phone number is (617) 591-4245.

What is Michael Mullane's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Mullane enrolled in Medicare?

Yes. Michael Mullane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Mullane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mullane reassigns Medicare benefits to Association Of Chmc And University Physicians (Richland, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Mullane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mullane accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Michael Mullane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Mullane was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.