Amanda Mullen, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS0049100 Issued in NJ

Practice address

180 Orange Rd
Apt 5B
Montclair, NJ 07042-2644

Phone

(908) 309-6489

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pearl Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Shrewsbury, NJ
  • NPI 1225630122
  Medicare reassignment NPD
• Parker Creek Neurorehabilitation

  • Physical Therapy Clinic/Center
  • Little Silver, NJ
  • NPI 1740743467
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1316329212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ORANGE RD",
            "address_2": "APT 5B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422644",
            "telephone_number": "908-309-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ORANGE RD",
            "address_2": "APT 5B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422644",
            "telephone_number": "908-309-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "AMANDA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS0049100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MPDC
• Michelle A. Mroz, MSW, LCSW
• Lana Mukhtar, MD
• Kaitlin Mulcahy, LMHC, LPC
• Maryann Mule, LPC
• Daniel Sherwood Mundy, MD
• Kelly W Murakata, AGNP-BC
• Jan Murphy
• Kaelynn Murphy
• Kristen T Murray, PHARMD

• Speech-Language Pathologist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.