Kelly McGlyn, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013876 Issued in NY

Practice address

446 Bement Ave
Staten Island, NY 10310-2128

Phone

(917) 577-6790

NPI assigned

Nov 24, 2008

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

Other names 1

• Mrs. Kelly McGlyn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1821243437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 BEMENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102128",
            "telephone_number": "917-577-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 BEMENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102128",
            "telephone_number": "917-577-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLYN",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCGLYN",
            "prefix": "MRS.",
            "credential": "MACCCSLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephen J McGee, DC
• Donnet McGill
• Tracey Lee McGill, MS.ED.
• Thomas Gregory McGinn, M.D.
• Mary L. McGinnis, MSED
• Hannah McGowan
• Maria Laura McGrail, RPA-C
• Caitlyn McGrath
• Samantha McGrath, LMHC
• Stacy Ann McGroarty, M.S.ED

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Jun 16, 2015; 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.