Kelly Ann McClintock

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

198 Geneva Ave
Dorchester, MA 02121-3860

Phone

(617) 371-3010

NPI assigned

Feb 27, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1457852188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHARLESGATE W # 226",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152703",
            "telephone_number": "805-427-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 GENEVA AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213860",
            "telephone_number": "617-371-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey E. McBride, RN
• McCall Transportation LLC
• Elizabeth Rettig McCarthy, LICSW
• Maudell Louise McCauley- Laurent, RN
• Aaron Marcel McClain
• Dominique McCoy
• Kelli Nicole McCray
• Vera Jane McCullen, PA-C
• Ann McCullough, OTR/L
• Anne M McDonald, M.S., R.D. LDN

• Speech-Language Pathologist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.