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DR. JOHN P MULLOOLY II MD
NPI 1649356254
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since October 27, 2006PECOS Enrolled
1220 N DEWEY AVE, MILWAUKEE, WI 53213(414) 454-6610(414) 454-6644 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John P Mullooly Ii Md NPPES

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

DR. JOHN P MULLOOLY II MD (NPI 1649356254) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (35617020) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649356254
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN P MULLOOLY IICredential: MD
Location Address1220 N DEWEY AVEMilwaukee, WI 53213
Mailing Address1220 Dewey AveMilwaukee, WI 53213-2504 · (414) 454-6514 · Fax (414) 454-6751
Phone(414) 454-6610
Fax(414) 454-6644
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateApril 11, 2013
✔ NPI 1649356254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 35617020
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1220 N DEWEY AVE, Milwaukee, WI 53213
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING57539
Medicare ID-Type Unspecified002001150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John P Mullooly Ii Md 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 John Mullooly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Psychiatric Hospital, Inc.
0.1 mi
Psychiatric Hospital
1220 DEWEY AVE
Wauwatosa, WI 53213
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
NPI 1881627438 (414) 454-6600

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 53213 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Mullooly's NPI number?

The NPI number for John Mullooly is 1649356254. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is John Mullooly located?

John Mullooly practices at 1220 N Dewey Ave, Milwaukee, WI 53213. The listed phone number is (414) 454-6610.

What is John Mullooly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Mullooly enrolled in Medicare?

Yes. John Mullooly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Mullooly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mullooly reassigns Medicare benefits to Aurora Psychiatric Hospital, Inc. (Wauwatosa, WI). 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 John Mullooly'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 John Mullooly was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.