Mansfield Family Therapy Services, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

MANSFIELD FAMILY THERAPY SERVICES, LLC

Practice address

1395 Fairhaven Dr
Mansfield, TX 76063-3766

Phone

(630) 301-0549

Fax

(817) 549-5885

NPI assigned

Jul 21, 2022

Last updated

Aug 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Megan Pullos, MA, CCC-SLP/LNPI 1962448761

Title

Owner/Practioner

Phone

(630) 301-0549

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Pullos, M.A. CCC-SLP/L

  • Speech-Language Pathologist
  • Mansfield, TX
  • NPI 1962448761
  NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1285369439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 FAIRHAVEN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633766",
            "telephone_number": "630-301-0549",
            "fax_number": "817-549-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 FAIRHAVEN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633766",
            "telephone_number": "630-301-0549",
            "fax_number": "817-549-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD FAMILY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "PULLOS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "630-301-0549",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Hearing and Speech Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.