Payton Brooke Mummau, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH006089 Issued in PA

Practice address

9601 Bustleton Ave Ste a
Philadelphia, PA 19115-3810

Phone

(856) 346-0005

NPI assigned

Mar 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• CNNH Therapy LLC

  • Behavior Analyst
  • King of Prussia, PA
  • NPI 1750845327
  NPD (past)

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1770168668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19750 S VERMONT AVE STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021130",
            "telephone_number": "310-324-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BUSTLETON AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153810",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19750 S Vermont Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905021130",
            "country_code": "US",
            "telephone_number": "310-324-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMMAU",
        "first_name": "PAYTON",
        "middle_name": "BROOKE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH006089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Mulvihill, LPC
• Hannah Mumber, MD
• Erika E Mumford
• Ruhani Mumick
• Andrew David Mumma, MD
• Paula Mumola, MSPT
• Maham Noor Munawar, DO
• Joshua Smith Munch, DMD
• Domenique Mundey
• Gurpreet S Mundi, MD

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.