Molly Ruth Machemehl, MA LSSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

70196 Issued in TX

Practice address

2332 Amhearst LN
Flower Mound, TX 75028-4663

Phone

(469) 554-8110

Fax

(866) 984-3078

NPI assigned

Aug 22, 2024

Last updated

Aug 22, 2024By the provider in NPPES

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

• Mrs. Molly Ruth Graham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1972336139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 AMHEARST LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284663",
            "telephone_number": "469-554-8110",
            "fax_number": "866-984-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 AMHEARST LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284663",
            "telephone_number": "469-554-8110",
            "fax_number": "866-984-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHEMEHL",
        "first_name": "MOLLY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MA LSSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VT",
            "license": "8069884",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "70196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "GRAHAM",
            "middle_name": "RUTH",
            "prefix": "MRS.",
            "credential": "IDENTITY PROTECT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lumin Health Physician Group, PA
• Lumincare Physician Group, PA
• Amy Stover Lungren, M.D.
• Luxottica of America Inc. (Lenscrafters #7033)
• Luxottica of America Inc. (Target Optical #2079)
• Kristina Mackie, DDS
• Mark Lane Madenwald, MD
• Naga Sai Venkata Hanumantha Rao Madhavapeddi, M.D
• Kamryn Madkins
• Smridhi Mahajan, MD

• School Psychologist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• School Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.