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SOPHIA MULLEN
NPI 1386126753
Psychologist - Clinical in Minneapolis, MN

Active since September 03, 2018PECOS Enrolled
333 WASHINGTON AVE N, MINNEAPOLIS, MN 55401(612) 825-4792(626) 727-7535 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2026, Jun 5, 2026, Sep 3, 2018 (3 updates tracked since 2018).

About Sophia Mullen NPPES

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

SOPHIA MULLEN (NPI 1386126753) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP7320) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386126753
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSOPHIA MULLEN
Location Address333 WASHINGTON AVE NMinneapolis, MN 55401-2263
Mailing Address4749 16th Ave SMinneapolis, MN 55407-3606 · (804) 467-4592
Phone(612) 825-4792
Fax(626) 727-7535
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 3, 2018
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1386126753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP7320
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
333 WASHINGTON AVE N, Minneapolis, MN 55401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Mullen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961968276
PECOS Enrollment IDI20260728000595
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 Sophia Mullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cgc LLC
3.9 mi
Mental Health (Including Community Mental Health Center)
4208 PARK GLEN RD
Minneapolis, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 31 clinicians in this Medicare group
NPI 1699239566 (630) 677-5437

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COMMUNITY EMPOWERMENT
Community/Behavioral Health
333 WASHINGTON AVE N
MINNEAPOLIS, MN 55401
Hennepin County (202) 450-0351
ERIKA PLAZA
Nurse Practitioner
333 WASHINGTON AVE N, SUITE 5000
MINNEAPOLIS, MN 55401
Hennepin County (612) 659-7111
MELODY WERNER FNP
Nurse Practitioner (Family)
333 WASHINGTON AVE N, STE 5000
MINNEAPOLIS, MN 55401
Hennepin County (612) 659-7111
SYLVIA NORRIS-KING
Nurse Practitioner (Family)
333 WASHINGTON AVE N, SUITE 5000
MINNEAPOLIS, MN 55401
Hennepin County (612) 767-7111
ROSALYN SAUNDERS
Nurse Practitioner (Family)
333 WASHINGTON AVE N, SUITE 5000
MINNEAPOLIS, MN 55401
Hennepin County (612) 767-7111
MELISSA DOBIAS
Nurse Practitioner
333 WASHINGTON AVE N, SUITE 5000
MINNEAPOLIS, MN 55401
Hennepin County (612) 659-7111
ANNETTE SUE BETTS FNP
Nurse Practitioner (Family)
333 WASHINGTON AVE N, 5000
MINNEAPOLIS, MN 55401
Hennepin County (612) 659-7111
RACHEL PROSSER
Nurse Practitioner (Family)
333 WASHINGTON AVE N, SUITE 5000
MINNEAPOLIS, MN 55401
Hennepin County (612) 659-7111

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 Sophia Mullen's NPI number?

The NPI number for Sophia Mullen is 1386126753. It was assigned to this individual provider in the NPPES registry on September 3, 2018.

Where is Sophia Mullen located?

Sophia Mullen practices at 333 Washington Ave N, Minneapolis, MN 55401. The listed phone number is (612) 825-4792.

What is Sophia Mullen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Sophia Mullen enrolled in Medicare?

Yes. Sophia Mullen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Mullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Mullen reassigns Medicare benefits to Cgc LLC (Minneapolis, MN). 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 Sophia Mullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Mullen was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.