Shelly L Mueller, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009334-1 Issued in NY

Practice address

2070 Jensis Rd
Castleton, NY 12033-2520

Phone

(518) 441-9615

Fax

(518) 732-0076

NPI assigned

Jan 19, 2010

Last updated

Jan 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1174854921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 JENSIS RD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120332520",
            "telephone_number": "518-441-9615",
            "fax_number": "518-732-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 JENSIS RD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120332520",
            "telephone_number": "518-441-9615",
            "fax_number": "518-732-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a. Thomson (Greenbush Internal Medicine)
• Hani Midani, MD
• Mariann Theresa Molocznik, OTRL
• Christopher Monticello
• Steven Douglas Morton, D.M.D.
• Pamela Jean Muraco-Simons, LMSW
• Brooke Murray, LMSW
• Tammy Murray, MSED
• Michelle Nash, MS OTR/L
• Northeast Rheumatology Initiative PLLC

• Speech-Language Pathologist in Castleton, NY
• Providers in Castleton, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.