Stephanie E Mullin, MHS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004778A Issued in IN

Practice address

2148 Awapuhi St
Hilo, HI 96720-5290

Phone

(808) 365-8128

Fax

(808) 961-6383

NPI assigned

Oct 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie E Popadic Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wala-Au Therapy LLCGroup PAC ID 9335566413, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wala-Au Therapy LLC

  • Hearing and Speech Clinic/Center
  • Hilo, HI
  • NPI 1306468806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1205112000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 KILAUEA AVE",
            "address_2": "D1",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208003",
            "telephone_number": "808-494-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 AWAPUHI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205290",
            "telephone_number": "808-365-8128",
            "fax_number": "808-961-6383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Sheffield Ave",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111167",
            "country_code": "US",
            "telephone_number": "219-322-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MHS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP 1190",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004778A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.walaautherapy.com/",
            "affiliation": "N",
            "address_1": "2148 Awapuhi St",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967205290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "POPADIC",
            "middle_name": "E",
            "credential": "MHS. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas D Moyer, BS
• Rebekah L Mraz
• Mrs Hilo LLC
• Cecilia P. Mukai, PHD, APRN, FNP-BC
• Joyce M Muktarian, MA -COUNSELING PSYCH
• Rand D Mundo, DPM
• Milont M Murasaki, DDS
• Mayumi Murata, LMT
• Marcus Murphy
• Melissa Murphy

• Speech-Language Pathologist in Hilo, HI
• Providers in Hilo, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.