Active NPI
Molly Mullett-Flynn, MS
- Counselor
- Buffalo, NY
National Provider Identifier
1376582056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2495 Main St
Buffalo, NY 14214-2152 - Phone
- (716) 862-0367
- Fax
- (716) 862-0368
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2495 Main St
Buffalo, NY 14214-2152
Mailing address
525 Washington St
Managed Care Department
Buffalo, NY 14203-1711
Phone (716) 856-4494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000506354002 | Other | NY | COMMUNITY BLUE |
| 00030241501 | Other | NY | UNIVERA |
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Buffalo | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1962596718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376582056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 WASHINGTON ST",
"address_2": "MANAGED CARE DEPARTMENT",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031711",
"telephone_number": "716-856-4494",
"fax_number": "716-842-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142152",
"telephone_number": "716-862-0367",
"fax_number": "716-862-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLETT-FLYNN",
"first_name": "MOLLY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "000506354002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00030241501",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.