MR. JERRY MICHAEL MC MULLEN
NPI 1366647620
Counselor - Mental Health in Santa Cruz, CA

Active since June 18, 2007
1400 EMELINE AVE BLDG K, SANTA CRUZ, CA 95060(831) 454-4957 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry Michael Mc Mullen NPPES

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

MR. JERRY MICHAEL MC MULLEN (NPI 1366647620) is an individual mental health provider in Santa Cruz, California and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1366647620
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JERRY MICHAEL MC MULLEN
Location Address1400 EMELINE AVE BLDG KSanta Cruz, CA 95060-1976
Mailing Address1400 Emeline Ave Bldg KSanta Cruz, CA 95060-1976 · (831) 454-4957
Sole ProprietorNo
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1366647620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1400 EMELINE AVE BLDG K, Santa Cruz, CA 95060

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.

Marriage & Family Therapist
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060
Registered Nurse (Psychiatric/Mental Health)
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060
Marriage & Family Therapist
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060
Marriage & Family Therapist
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060
Counselor (Mental Health)
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060
Student in an Organized Health Care Education/Training Program
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1400 EMELINE AVE BLDG K
SANTA CRUZ, CA 95060

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 Jerry Mc Mullen's NPI number?

The NPI number for Jerry Mc Mullen is 1366647620. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Jerry Mc Mullen located?

Jerry Mc Mullen practices at 1400 Emeline Ave Bldg K, Santa Cruz, CA 95060. The listed phone number is (831) 454-4957.

What is Jerry Mc Mullen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerry Mc Mullen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.