JEREMY RANDALL MULLIS MA
NPI 1922240928
Psychologist in Wilmington, NC

Active since April 06, 2009
4701 WRIGHTSVILLE AVENUE BLDG 1 UNIT D-4, WILMINGTON, NC 28403(910) 899-4060 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Feb 22, 2021 (2 updates tracked since 2021).

About Jeremy Randall Mullis Ma NPPES

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

JEREMY RANDALL MULLIS MA (NPI 1922240928) is an individual psychologist in Wilmington, North Carolina, licensed in North Carolina (4647) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1922240928
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJEREMY RANDALL MULLISCredential: MA
Location Address4701 WRIGHTSVILLE AVENUE BLDG 1 UNIT D-4Wilmington, NC 28403-2840
Mailing Address4701 Wrightsville Avenue Bldg 1 Unit D-4Wilmington, NC 28403-6911 · (910) 899-4060
Sole ProprietorNo
Enumeration DateApril 6, 2009
Last NPPES UpdateApril 13, 20222 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
NPI 1922240928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 4647
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X
4701 WRIGHTSVILLE AVENUE BLDG 1 UNIT D-4, Wilmington, NC 28403

Accepted Insurance

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 Jeremy Mullis's NPI number?

The NPI number for Jeremy Mullis is 1922240928. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Jeremy Mullis located?

Jeremy Mullis practices at 4701 Wrightsville Avenue Bldg 1 Unit D-4, Wilmington, NC 28403. The listed phone number is (910) 899-4060.

What is Jeremy Mullis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Jeremy Mullis accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jeremy Mullis 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 Jeremy Mullis was last updated on April 13, 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.