DR. SHAMBRA MULDER PHD
NPI 1992185565
Psychologist in Lexington, KY

Active since June 09, 2015PECOS Enrolled
1500 LEESTOWN RD, STE 180, LEXINGTON, KY 40511(859) 229-6823 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Jan 14, 2016 (2 updates tracked since 2016).

About Dr. Shambra Mulder Phd NPPES

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

DR. SHAMBRA MULDER PHD (NPI 1992185565) is an individual psychologist in Lexington, Kentucky and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992185565
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHAMBRA MULDERCredential: PHD
Location Address1500 LEESTOWN RD, STE 180Lexington, KY 40511-2045
Mailing Address2805 Jenna RstLexington, KY 40511-8878 · (859) 229-6823
Sole ProprietorNo
Enumeration DateJune 9, 2015
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1992185565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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 ListedPsychologist · SchoolTaxonomy 103TS0200X
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
1500 LEESTOWN RD, Lexington, KY 40511

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. Shambra Mulder Phd 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 14

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

Social Worker
1500 LEESTOWN RD, SUITE 338
LEXINGTON, KY 40511
Dentist (General Practice)
1500 LEESTOWN RD, SUITE #100
LEXINGTON, KY 40511
Social Worker (Clinical)
1500 LEESTOWN RD
LEXINGTON, KY 40511
Chiropractor
1500 LEESTOWN RD, SUITE 304
LEXINGTON, KY 40511
Counselor (Professional)
1500 LEESTOWN RD, SUITE 338
LEXINGTON, KY 40511
Social Worker
1500 LEESTOWN RD
LEXINGTON, KY 40511
Counselor (Mental Health)
1500 LEESTOWN RD, STE 338
LEXINGTON, KY 40511
Social Worker
1500 LEESTOWN RD, SUITE 120
LEXINGTON, KY 40511

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 Shambra Mulder's NPI number?

The NPI number for Shambra Mulder is 1992185565. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Shambra Mulder located?

Shambra Mulder practices at 1500 Leestown Rd Ste 180, Lexington, KY 40511. The listed phone number is (859) 229-6823.

What is Shambra Mulder's specialty?

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

Is Shambra Mulder enrolled in Medicare?

Yes. Shambra Mulder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shambra Mulder was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.