Individual provider Active NPI

Denis Jerome Kelleher, M.A.

  • Speech-Language Pathologist
  • Quakertown, PA
National Provider Identifier
1477023943
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSL000756 Issued in PA
Practice address
5666 Clymer Road
Quakertown, PA 18951-3264
Phone
(215) 538-3488
Fax
(215) 538-8692
NPI assigned
Nov 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X PSL000756 PA Primary

Addresses

Primary practice location

5666 Clymer Road
Quakertown, PA 18951-3264

Mailing address

5666 Clymer Road
Quakertown, PA 18951-3264
Phone (215) 538-3488

Other practice location 1

970 Colonial Ave
York, PA 17403-3430
Phone (717) 845-2661

Other practice location 2

161 North Main Street
Dublin, PA 18917-1302
Phone (215) 538-3488

Other practice location 3

361 South 11th Street
Quakertown, PA 18951-1409
Phone (215) 538-3488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122002288 PA Practitioner - Qualified Speech Language Pathologist 2365977634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Rehabilitation LLCGroup PAC ID 8325403041, 24 clinicians

Practice addresses (Care Compare)

5666 Clymer Rd
Quakertown, PA 18951-3264
Phone (267) 994-0680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSL000756PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Rehabilitation LLC Speech-Language Pathologist CurrentSince Nov 1, 2024 Accepting new patients

Locations

4321 Easton Ave
Bethlehem, PA 18020
Phone (215) 538-3488

161 N Main St
Ste 14B
Dublin, PA 18917
Phone (215) 538-3488

5666 Clymer Rd
Quakertown, PA 18951
Phone (215) 538-3488

361 S 11th St
Quakertown, PA 18951
Phone (215) 536-8540

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1477023943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 CLYMER ROAD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 CLYMER ROAD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189513264",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Colonial Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033430",
            "country_code": "US",
            "telephone_number": "717-845-2661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 North Main Street",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "PA",
            "postal_code": "189171302",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 South 11th Street",
            "address_purpose": "LOCATION",
            "city": "Quakertown",
            "state": "PA",
            "postal_code": "189511409",
            "country_code": "US",
            "telephone_number": "215-538-3488",
            "fax_number": "215-538-8692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "DENIS",
        "middle_name": "JEROME",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "PSL000756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.