Active NPI
Christina Rose Gollis, M.S.
- Speech-Language Pathologist
- Richardson, TX
National Provider Identifier
1730327289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103900
- Practice address
- 2895 Facilities Way
Richardson, TX 75080-0034 - Phone
- (972) 883-3660
- Fax
- (972) 553-3622
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 103900 | TX | Primary |
Addresses
Primary practice location
2895 Facilities Way
Richardson, TX 75080-0034
Mailing address
1966 Inwood Rd
Dallas, TX 75235-7205
Phone (972) 883-3010
Other practice location 1
1966 Inwood Rd
Dallas, TX 75235-7205
Phone (972) 883-3000
Other names 1
- Ms. Christina Rose Molloy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103900 | TX | MD | Interpreter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas at Dallas | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1966 Inwood Rd
Dallas, TX 75235
Phone (972) 883-3010
2895 Facilities Way
Richardson, TX 75080
Phone (972) 883-3630
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": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1730327289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1966 INWOOD RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357205",
"telephone_number": "972-883-3010",
"fax_number": "972-883-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 FACILITIES WAY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750800034",
"telephone_number": "972-883-3660",
"fax_number": "972-553-3622"
}
],
"practiceLocations": [
{
"address_1": "1966 Inwood Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357205",
"country_code": "US",
"telephone_number": "972-883-3000",
"fax_number": "972-883-3022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLLIS",
"first_name": "CHRISTINA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "MOLLOY",
"middle_name": "ROSE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.