Gary McCullough, PH.D,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11215 Issued in NC

Practice address

400 University Hall Dr
Room 216
Boone, NC 28608-2102

Phone

(828) 262-7675

Fax

(828) 262-7680

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Appalachian State University

  • Community/Behavioral Health Agency
  • Boone, NC
  • NPI 1699104273
  NPD

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1346637642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY HALL DR",
            "address_2": "ROOM 216",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286082102",
            "telephone_number": "828-262-7675",
            "fax_number": "828-262-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY HALL DR",
            "address_2": "ROOM 216",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286082102",
            "telephone_number": "828-262-7675",
            "fax_number": "828-262-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "GARY",
        "credential": "PH.D,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Campbell McCachren
• Tess Avery McCain, DT
• Michael Scot McCann, DDS
• Julie McCarter
• Christopher McCracken, MD
• Jeremy McDavid
• Joellen McEldowney, PHARMD
• Hudson McGinnis, DO
• Sean McGlothlin, PHARMD
• Rosalie Grayson McGrane, LPC

• Speech-Language Pathologist in Boone, NC
• Providers in Boone, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.