Individual provider Active NPI

Kathleen Brooks Mulhollen, MS, CCC-SLP

  • Speech-Language Pathologist
  • Ellwood City, PA
National Provider Identifier
1811217144
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL0005674L Issued in PA
Practice address
26 Pittsburgh Circle
Ellwood City, PA 16117-2136
Phone
(724) 651-1551
NPI assigned
Jun 9, 2010
Last updated
May 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL0005674L PA Primary

Addresses

Primary practice location

26 Pittsburgh Circle
Ellwood City, PA 16117-2136

Mailing address

501 Wood St
Ellwood City, PA 16117-1250

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

LicenseStateTypeSpecialty
SL0005674LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Speech and Rehabilitation LLC CurrentSince Jun 13, 2012 Accepting new patients
Associated Occupational Therapists, Inc. PastSince Jun 20, 2012 Accepting new patients

Locations

26 Pittsburgh Cir
Ellwood City, PA 16117
Phone (724) 651-1551

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1811217144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WOOD ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PITTSBURGH CIRCLE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172136",
            "telephone_number": "724-651-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLEN",
        "first_name": "KATHLEEN",
        "middle_name": "BROOKS",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL0005674L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.