Mary Elenore Nellie Flynn, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01137800 Issued in NJ

Practice address

407 W Delilah Rd
Pleasantville, NJ 08232-1207

Phone

(609) 289-2331

NPI assigned

Apr 9, 2020

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

Other names 1

• Nellie Flynn Other name

Electronic endpoints 1

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

Locations

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.

• Wayfinders Therapy Center, LLC

  • Multi-Specialty Clinic/Center
  • Pleasantville, NJ
  • NPI 1174236012
  NPD Authorized official

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1861011801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ESSEX AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021826",
            "telephone_number": "609-289-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W DELILAH RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082321207",
            "telephone_number": "609-289-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MARY ELENORE",
        "middle_name": "NELLIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015044",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01137800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nellie.flynn@wayfinderstherapycenter.com",
            "affiliation": "N",
            "address_1": "407 W Delilah Rd",
            "city": "Pleasantville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082321207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "FLYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• DRS. Pritz & Gray Eyecare
• Egg Harbor Township School District
• Alecia M Ellis
• Family Tree Medical Solutions
• Angela Marie Fast, M.D.
• Tracy Fooks Michnya, LCSW, LCADC
• Ambershaj Francis
• Larry Fuerman, OD
• Scott Fuerman, OD
• America Celia Garcia, BS

• Speech-Language Pathologist in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.