Active NPI
Molly Catherine McDermott, M.A., SLP-CCC
- Speech-Language Pathologist
- Wilmington, OH
National Provider Identifier
1184876468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11915
- Practice address
- 3318 Wilson Rd
Wilmington, OH 45177-9373 - Phone
- (937) 725-4949
- Fax
- (937) 725-4949
- NPI assigned
- Oct 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | RPE5459 | CA | |
| Speech-Language Pathologist | 235Z00000X | SA11915 | FL | Primary |
Addresses
Primary practice location
3318 Wilson Rd
Wilmington, OH 45177-9373
Mailing address
3318 Wilson Rd
Wilmington, OH 45177-9373
Phone (937) 725-4949
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPE5459 | CA | MD | Speech-Language Pathologist |
| SA11915 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1184876468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3318 WILSON RD",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451779373",
"telephone_number": "937-725-4949",
"fax_number": "937-725-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3318 WILSON RD",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451779373",
"telephone_number": "937-725-4949",
"fax_number": "937-725-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "MOLLY",
"middle_name": "CATHERINE",
"credential": "M.A., SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "RPE5459",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.