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CARLY ANN MULLOY
NPI 1689400749
Counselor - Professional in Media, PA

Active since September 13, 2024PECOS Enrolled
100 YEARSLEY MILL RD, MEDIA, PA 19063(484) 227-1439 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Ann Mulloy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY ANN MULLOY (NPI 1689400749) is an individual professional provider in Media, Pennsylvania, licensed in Pennsylvania (PC017553) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689400749
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARLY ANN MULLOY
Location Address100 YEARSLEY MILL RDMedia, PA 19063-5593
Mailing Address215 Canford DrBroomall, PA 19008-3802 · (484) 682-5806
Phone(484) 227-1439
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1689400749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC017553
100 YEARSLEY MILL RD, Media, PA 19063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Ann Mulloy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466933866
PECOS Enrollment IDI20260224003171
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ANN JACOBS
Registered Nurse (Addiction (Substance Use Disorder))
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1475
KEYAIRRAH JONES
Counselor (Professional)
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1450
ALLISON LEIGH DWYER
Counselor (Professional)
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1537
CHRISTINA HOFFMAN
Registered Nurse (Addiction (Substance Use Disorder))
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1476
MRS. JULIA ELIZABETH WINDSOR RN
Registered Nurse (Addiction (Substance Use Disorder))
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1476
SHARON FLEMING
Registered Nurse (Addiction (Substance Use Disorder))
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1476
JENNIFER LYNN BASCELLI RN
Registered Nurse
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1476
AMY-MEGAN ELLEN JAMES LPN
Licensed Practical Nurse
100 YEARSLEY MILL RD
MEDIA, PA 19063
Delaware County (484) 227-1476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Mulloy's NPI number?

The NPI number for Carly Mulloy is 1689400749. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Carly Mulloy located?

Carly Mulloy practices at 100 Yearsley Mill Rd, Media, PA 19063. The listed phone number is (484) 227-1439.

What is Carly Mulloy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carly Mulloy enrolled in Medicare?

Yes. Carly Mulloy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Mulloy was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.