Rachel L Macmullen, NYS LIC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021554-1 Issued in NY

Practice address

169 Country Village LN
Hilton, NY 14468-9591

Phone

(585) 478-0603

NPI assigned

Jan 23, 2012

Last updated

Feb 19, 2020By 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

Other names 1

• Rachel Macmullen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Strong Roots Pediatric Speech Therapy Wellness PLLC

  • Speech-Language Pathologist
  • Rochester, NY
  • NPI 1093689937
  NPD Authorized official

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1407127483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 COUNTRY VILLAGE LN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689591",
            "telephone_number": "585-478-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 COUNTRY VILLAGE LN",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689591",
            "telephone_number": "585-478-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMULLEN",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NYS LIC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021554-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MACMULLEN",
            "credential": "M.S. CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Landon, P.T.
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• Bonnie A Lupo, MS, FNP-C
• Cheryl Macklem
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• Arshad Masood, MD
• Alicia Michelle Maxwell, LMHC, MASTER CASAC
• Julee McDaniel
• Jennifer Ann McDaniels, LCSW

• Speech-Language Pathologist in Hilton, NY
• Providers in Hilton, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.