JANINE GAUTHIER MULLADY (PHD) – Clinical Psychologist, NPI 1649495011

JANINE GAUTHIER MULLADY (PHD) is a healthcare provider. based in Lake forest, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071006689 (IL). The NPI Number for JANINE GAUTHIER MULLADY (PHD) is 1649495011

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
JANINE GAUTHIER MULLADY (PHD)
NPI
1649495011
Phone
(312) 285-4729
Address
1599 W OLD MILL RD
Enumeration Date
13 April 2007
Last Update Date
7 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3122854729
Graduation Year
2001 (25 years ago)
PAC ID
6103989991
Group Practice PAC ID
7618110347
Professional Enrollment ID
I20130828000926
Address ID
IL600265803GL3633XAVEX405
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for JANINE GAUTHIER MULLADY (PHD)

  • 1599 W OLD MILL RD

    LAKE FOREST, IL 600453721

    Phone: (312) 285-4729

    Type: Mailing

  • 3633 W LAKE AVE

    SUITE 404

    GLENVIEW, IL 600265805

    Phone: (312) 285-4729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130828000926IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour29926$0
90791Psychiatric diagnostic evaluation1818$0
View full utilization report →

Insurance plans in this area (ZIP 60045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618110347View full group profile
NameSpecialtyState
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do payers reference JANINE GAUTHIER MULLADY (PHD)?
For JANINE GAUTHIER MULLADY (PHD), use NPI 1649495011 as the unique 10-digit identifier.
Is there an active status for JANINE GAUTHIER MULLADY (PHD)?
For scheduling context, JANINE GAUTHIER MULLADY (PHD) is shown as active in the registry.
What clinical focus is listed for JANINE GAUTHIER MULLADY (PHD)?
At a glance, JANINE GAUTHIER MULLADY (PHD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is JANINE GAUTHIER MULLADY (PHD) located near Lake Forest?
JANINE GAUTHIER MULLADY (PHD) currently maps to Lake Forest, Illinois in this extract.
When was this NPI issued?
Enumeration for JANINE GAUTHIER MULLADY (PHD) is noted as April 13, 2007 where the registry provides it.

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