Emily Ruth Mongillo, MS, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012293-1 Issued in NY

Practice address

393 North St
Springville, NY 14141-9652

Phone

(716) 592-9331

NPI assigned

Jan 13, 2018

Last updated

Jan 13, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• League for the Handicapped

  • Early Intervention Provider Agency
  • Springville, NY
  • NPI 1588981245
  Authorized official Same address or phone

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1609384585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 NORTH ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141419652",
            "telephone_number": "716-592-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 NORTH ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141419652",
            "telephone_number": "716-592-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGILLO",
        "first_name": "EMILY",
        "middle_name": "RUTH",
        "credential": "MS, CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012293-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Meissner
• Mental Health Services of Erie County Secv (Spectrum Human Services)
• Mental Health Services Or Erie County Secv (Spectrum Human Services)
• Allison Diane Miley
• Eileen Misiti
• Jenna Rose Morgan, REGISTERED NURSE
• Mary Morgan
• Meagen Mrugala, NP
• Elizabeth Ann Murphy, RPH
• Amanda Nolan

• Speech-Language Pathologist in Springville, NY
• Providers in Springville, 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 Jan 13, 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.