Sean Molloy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S04016 Issued in MD

Practice address

331 Oak Manor Dr Ste 101
Glen Burnie, MD 21061-5553

Phone

(410) 766-4878

NPI assigned

Feb 16, 2017

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yc Clinic LLCGroup PAC ID 9638110299, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Yc Clinic LLC

  dba Yalich Clinic of Glen Burnie

  • Chiropractor
  • Glen Burnie, MD
  • NPI 1689790560
  Medicare reassignment Care Compare group NPD
• Molloy Chiropractic LLC

  • Chiropractor
  • Fairfield, CT
  • NPI 1053859736
  Authorized official Same address or phone

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1225577729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "203-331-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OAK MANOR DR STE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615553",
            "telephone_number": "410-766-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "SEAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CT",
            "license": "2059",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Chioma Modozie, BEHAVIOR TECHNICIAN
• Mody & Miller, M.D., P.a.
• Harshad R Mody, M.D.
• Mateen Collis Moghbel, MD
• Amir R Moinfar, MD
• Martha Elizabeth Monaghan, MSW LCSW C
• Vanessa Monroe, LGPC
• Elizabeth Montalbano
• Paul Monteferrante
• Whitney Morgen Green Moomaw, MD

• Chiropractor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.