Individual provider Active NPI

Molly Jane Cullinan, M.A.

  • Speech-Language Pathologist
  • Orchard Park, NY
National Provider Identifier
1225293780
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013693-1 Issued in NY
Practice address
31 Timberlake Dr
Orchard Park, NY 14127-3571
Phone
(716) 860-0809
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013693-1 NY Primary

Addresses

Primary practice location

31 Timberlake Dr
Orchard Park, NY 14127-3571

Mailing address

31 Timberlake Dr
Orchard Park, NY 14127-3571
Phone (716) 860-0809

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

LicenseStateTypeSpecialty
013693-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Speech Practice, PLLC Speech-Language Pathologist CurrentSince Jan 12, 2025 Accepting new patients
Vincennes Pediatric Theraputics Past Accepting new patients
Pediatric Therapeutics-PT,OT,SLP&CSW,PLLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1225293780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TIMBERLAKE DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273571",
            "telephone_number": "716-860-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TIMBERLAKE DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273571",
            "telephone_number": "716-860-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINAN",
        "first_name": "MOLLY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.