Active NPI
Molly Mahoney Boulware, MA,CCC-SLP
- Speech-Language Pathologist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 8248
- Practice address
- 3000 Bethel Rd
Columbus, OH 43220-2262 - Phone
- (614) 889-6320
- NPI assigned
- May 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 8248 | OH | Primary |
Addresses
Primary practice location
3000 Bethel Rd
Columbus, OH 43220-2262
Mailing address
7407 Bride Water Blvd
Columbus, OH 43235-4300
Phone (614) 562-3190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Yard St
Suite 300
Grandview Heights, OH 43212-3882
Phone (614) 866-8158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 8248 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Affordable Home Health Care, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Affordable Home Health Care, LLC | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
800 Yard St
Ste 300
Grandview Heights, OH 43212
Phone (614) 866-8158
Organizations & group practices 4
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.
-
- Physical Therapist
- Columbus, OH
- NPI 1457216277
Speech-Language Pathologist
-
- Physical Therapist
- West Chester, OH
- NPI 1174153266
Speech-Language Pathologist
-
- Home Health Agency
- Grandview Heights, OH
- NPI 1861413999
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497963672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7407 BRIDE WATER BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354300",
"telephone_number": "614-562-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 BETHEL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202262",
"telephone_number": "614-889-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULWARE",
"first_name": "MOLLY",
"middle_name": "MAHONEY",
"name_prefix": "Mrs.",
"credential": "MA,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 8248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
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.
- 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.