Amy Jo Moczulski, MA,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010005 Issued in PA

Practice address

100 Barber PL
Contracting Box 92
Erie, PA 16507-1863

Phone

(814) 453-7661

Fax

(814) 874-5505

NPI assigned

Apr 6, 2011

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

• Miss Amy Jo King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

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.

• Christine Barr

  • Social Worker
  • Erie, PA
  • NPI 1629748702
  NPD (past)
• Dr Gertrude a Barber Center Inc

  • Clinic/Center
  • Erie, PA
  • NPI 1063571750

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1447549852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "fax_number": "814-874-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "address_2": "CONTRACTING BOX 92",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-453-7661",
            "fax_number": "814-874-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZULSKI",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KING",
            "middle_name": "JO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katy Mizikowski
• Mobile Diagnostic Test Serv Inc
• Mobile Diagnostic Test Serv Inc
• Mobile Medical Unit
• Jonathan Moctezuma, RN
• Jennifer Ann Moczulski, BCBA
• Julie Konieczny Modzelewski
• Maria Lee Modzelewski, ED.S.
• Tekyiah Nyree Moffett-Taylor
• Gregg Moffett, PHARM. D

• Speech-Language Pathologist in Erie, PA
• Providers in Erie, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.