MRS. KELLY TATARELLI-MULLINS LMSW, PSYD, LLP
NPI 1588997639
Counselor - Addiction (Substance Use Disorder) in Ann Arbor, MI

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment
3300 WASHTENAW AVE, SUITE 260, ANN ARBOR, MI 48104(734) 677-0200(734) 677-3310 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Kelly Tatarelli-mullins Lmsw, Psyd, Llp NPPES

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

MRS. KELLY TATARELLI-MULLINS LMSW, PSYD, LLP (NPI 1588997639) is an individual addiction (substance use disorder) provider in Ann Arbor, Michigan, licensed in Michigan (T364465261964) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1588997639
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. KELLY TATARELLI-MULLINSCredential: LMSW, PSYD, LLP
Location Address3300 WASHTENAW AVE, SUITE 260Ann Arbor, MI 48104-4200
Mailing Address3300 Washtenaw Ave, Suite 260Ann Arbor, MI 48104-4200 · (734) 677-0200 · Fax (734) 677-3310
Fax(734) 677-3310
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2009
Last NPPES UpdateSeptember 17, 2021
NPPES CertifiedSeptember 15, 2021
NPI 1588997639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MI · T364465261964
3300 WASHTENAW AVE, Ann Arbor, MI 48104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Tatarelli-mullins Lmsw, Psyd, Llp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941611750
PECOS Enrollment IDI20201201000210
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Psychiatric/Mental Health)
3300 WASHTENAW AVE, SUITE 295
ANN ARBOR, MI 48104
Social Worker
3300 WASHTENAW AVE, SUITE 260
ANN ARBOR, MI 48104
Counselor
3300 WASHTENAW AVE
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE
ANN ARBOR, MI 48104
Social Worker (Clinical)
3300 WASHTENAW AVE
ANN ARBOR, MI 48104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3300 WASHTENAW AVE, SUITE 275
ANN ARBOR, MI 48104

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 Kelly Tatarelli-mullins's NPI number?

The NPI number for Kelly Tatarelli-mullins is 1588997639. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Kelly Tatarelli-mullins located?

Kelly Tatarelli-mullins practices at 3300 Washtenaw Ave Suite 260, Ann Arbor, MI 48104. The listed phone number is (734) 677-0200.

What is Kelly Tatarelli-mullins's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelly Tatarelli-mullins enrolled in Medicare?

Yes. Kelly Tatarelli-mullins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Tatarelli-mullins accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kelly Tatarelli-mullins 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 Kelly Tatarelli-mullins was last updated on September 17, 2021. 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.