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BRIAN MULLERVY
NPI 1467875633
Counselor in Pawtucket, RI

Active since January 24, 2014PECOS Enrolled
101 BACON ST, PAWTUCKET, RI 02860(401) 724-8400(401) 722-5280 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian Mullervy NPPES

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

BRIAN MULLERVY (NPI 1467875633) is an individual counselor in Pawtucket, Rhode Island and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467875633
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRIAN MULLERVY
Location Address101 BACON STPawtucket, RI 02860-5542
Mailing Address101 Bacon StPawtucket, RI 02860-5542 · (401) 724-8400 · Fax (401) 722-5280
Phone(401) 724-8400
Fax(401) 722-5280
Sole ProprietorNo
Enumeration DateJanuary 24, 2014
Last NPPES UpdateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1467875633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License CSW02074 (RI)
101 BACON ST, Pawtucket, RI 02860
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Other Identifiers 1

MedicaidGH57134RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Mullervy 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 Brian Mullervy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Healthcare Inc
Same address
Mental Health (Including Community Mental Health Center)
101-103 BACON ST
Pawtucket, RI 02860
  • Reassigned Medicare billing, Rhode Island enrollment
  • 150 clinicians in this Medicare group
NPI 1821078932 (401) 722-3560

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.

TRISHA JOHNSON
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
MS. ALLYSON YVETTE VENTURA-TESILLO LCSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
CHRISTINE EMOND LICSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
STEFANIE BRIGANTI ACDP
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
RANDY ESTRADQ BACHELOR
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 724-8400
NICOLE VADNAIS MASTERS
Counselor
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560
NOAH O'TOOLE LMHC-A
Counselor (Mental Health)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 667-6696
JOSEPH CLIFFORD LICSW
Social Worker (Clinical)
101 BACON ST
PAWTUCKET, RI 02860
Providence County (401) 722-3560

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 Brian Mullervy's NPI number?

The NPI number for Brian Mullervy is 1467875633. It was assigned to this individual provider in the NPPES registry on January 24, 2014.

Where is Brian Mullervy located?

Brian Mullervy practices at 101 Bacon St, Pawtucket, RI 02860. The listed phone number is (401) 724-8400.

What is Brian Mullervy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Brian Mullervy enrolled in Medicare?

Yes. Brian Mullervy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Mullervy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Mullervy reassigns Medicare benefits to Gateway Healthcare Inc (Pawtucket, RI). 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 Brian Mullervy'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 Brian Mullervy was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.