Mary Jean Mollen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

03301 Issued in MD

Practice address

202 Chesterfield Ave
Centreville, MD 21617-1308

Phone

(410) 758-2403

NPI assigned

Dec 4, 2018

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Queen Anne's County Board of Education

  • Local Education Agency (LEA)
  • Centreville, MD
  • NPI 1598980062
  NPD (past)
• Queen Anne's County Board of Education

  • Local Education Agency (LEA)
  • Centreville, MD
  • NPI 1972726685
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1659841559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 MERMAID DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214094779",
            "telephone_number": "410-507-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHESTERFIELD AVE",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216171308",
            "telephone_number": "410-758-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLEN",
        "first_name": "MARY JEAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "03301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Malone Melvin
• Meridian Health, Inc (Corsica Hills Center)
• Lisa Marie Miller
• Katherine Mills
• Ashley Marie Mogle
• Karen Monroe, FNP-C, PMHNP-C
• Lori Moore, R.N
• April Lyn Motovidlak, CRNP
• Cynthia Wood Mundle, M.D.
• New Wave in Home Medical Care

• Occupational Therapist in Centreville, MD
• Providers in Centreville, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.