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THOMAS EVAN MULLALY PSS
NPI 1669983417
Peer Specialist in Salt Lake City, UT

Active since October 19, 2017
411 N GRANT ST, SALT LAKE CITY, UT 84116(801) 359-8862 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Evan Mullaly Pss NPPES

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

THOMAS EVAN MULLALY PSS (NPI 1669983417) is an individual peer specialist in Salt Lake City, Utah, licensed in Utah (796) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1669983417
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTHOMAS EVAN MULLALYCredential: PSS
Location Address411 N GRANT STSalt Lake City, UT 84116-2725
Mailing Address659 E 800 S Apt B5Salt Lake City, UT 84102-3539 · (801) 759-8145
Phone(801) 359-8862
Sole ProprietorNo
Enumeration DateOctober 19, 2017
✔ NPI 1669983417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in UT · 796
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
411 N GRANT ST, Salt Lake City, UT 84116
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Other Providers at the Same Location NPPES 19

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

KATHRYN ANNE TOZZI CSW, MSW
Social Worker (Clinical)
411 N GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (301) 461-3119
MR. SAM LESLIE FARRIS CMHC
Counselor (Professional)
411 N GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
KAREN CLUFF SSW
Social Worker
411 N GRANT ST
SLC, UT 84116
Salt Lake County (801) 358-8862
MS. JEANINE KUNSHEK MA
Case Manager/Care Coordinator
411 N GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
DAN BAIRD
Counselor (Addiction (Substance Use Disorder))
411 N GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (385) 500-4259
EVANGELINE NOEL KING
Social Worker (Clinical)
411 N GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
THOMAS CHILDS
Psychologist
411 N GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 359-8862
DANIELLA ULLOA
Case Manager/Care Coordinator
411 N GRANT ST
SALT LAKE CITY, UT 84116
Salt Lake County (801) 382-9753

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 Thomas Mullaly's NPI number?

The NPI number for Thomas Mullaly is 1669983417. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Thomas Mullaly located?

Thomas Mullaly practices at 411 N Grant St, Salt Lake City, UT 84116. The listed phone number is (801) 359-8862.

What is Thomas Mullaly's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Thomas Mullaly was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.