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DR. CLANCY WILLIAM MULLAN MD
NPI 1730679218
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since May 10, 2018PECOS Enrolled
20 YORK STREET, YNHH INTEGRATED THORACIC SURGERY, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clancy William Mullan Md NPPES

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

DR. CLANCY WILLIAM MULLAN MD (NPI 1730679218) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730679218
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CLANCY WILLIAM MULLANCredential: MD
Location Address20 YORK STREET, YNHH INTEGRATED THORACIC SURGERYNew Haven, CT 06510-3220
Mailing Address20 York Street, Ynhh - Tompkins 226New Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorYes
Enumeration DateMay 10, 2018
✔ NPI 1730679218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 YORK STREET, New Haven, CT 06510
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clancy William Mullan 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.

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.

SARAH HILL LCSW
Social Worker (Clinical)
20 YORK STREET, YALE-NEW HAVEN PSYCHIATRIC HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9907
JENNIFER PALERMO MD
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
TASHA LEE CUVI APRN
Nurse Practitioner (Gerontology)
20 YORK STREET, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4748
NIKHIL SEVAL M.D.
Internal Medicine
20 YORK STREET, YNHH - IM INFECTIOUS DISEASES
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
JESSICA LAUREN DOLMAN MD
Hospitalist
20 YORK STREET, YNHH DEPT OF INTERNAL MEDICINE
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
EESHA VIJAYKUMAR NATARAJAN MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YNHH TOMPKINS 226
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9503
NIRANJANA RAMANI MBBS
Student in an Organized Health Care Education/Training Program
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
MRS. SHARON MOALES LCSW
Social Worker (Clinical)
20 YORK STREET, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5193

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 Clancy Mullan's NPI number?

The NPI number for Clancy Mullan is 1730679218. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Clancy Mullan located?

Clancy Mullan practices at 20 York Street Ynhh Integrated Thoracic Surgery, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Clancy Mullan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Clancy Mullan enrolled in Medicare?

Yes. Clancy Mullan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clancy Mullan was last updated on May 10, 2018. 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.