Emile Mulder, PH.D.
NPI 1396194908ActiveIndividual· Psychologist, Clinical· Grand Haven, MI
Psychologist, Clinical (PH.D.) with Pine Rest Christian Mental Health Services, practicing in Grand Haven, Michigan. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1396194908 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jun 6, 2016 |
| Last updated in NPPES | Jun 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301016347 | MI |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 6301016347 | MI |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 6301016347 | MI |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 6301016347 | MI |
| Psychologist, Group Psychotherapy | 103TP2701X | 6301016347 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Pine Rest Christian Mental Health ServicesGrand Rapids, MI · 353 clinicians
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All 15 clinical psychologists in Grand Haven · All clinical psychologists in Michigan