Active NPI
Molly Gavin, ED.S
- School Psychologist
- Edinboro, PA
National Provider Identifier
1174403182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 107 Green Oaks Dr Apt 312
Edinboro, PA 16412-2825 - Phone
- (814) 657-6251
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
107 Green Oaks Dr Apt 312
Edinboro, PA 16412-2825
Mailing address
107 Green Oaks Dr Apt 312
Edinboro, PA 16412-2825
Phone (814) 657-6251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1174403182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 GREEN OAKS DR APT 312",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164122825",
"telephone_number": "814-657-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GREEN OAKS DR APT 312",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164122825",
"telephone_number": "814-657-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVIN",
"first_name": "MOLLY",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.