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MARY MCKILLOP
NPI 1891243218
Specialist in Ravena, NY

Active since September 14, 2016
14379 RT 9W, CIRCLE OF FRIENDS, RAVENA, NY 12143(518) 756-3124(518) 756-9476 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Mckillop NPPES

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

MARY MCKILLOP (NPI 1891243218) is an individual specialist in Ravena, New York, licensed in New York (304575) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1891243218
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARY MCKILLOP
Location Address14379 RT 9W, CIRCLE OF FRIENDSRavena, NY 12143-3103
Mailing Address14379 Rt 9w, Circle Of FriendsRavena, NY 12143-3103 · (518) 756-3124 · Fax (518) 756-9476
Phone(518) 756-3124
Fax(518) 756-9476
Sole ProprietorNo
Enumeration DateSeptember 14, 2016
✔ NPI 1891243218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 304575
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14379 RT 9W, Ravena, NY 12143
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Other Providers at the Same Location NPPES 3

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

MRS. ASHLEY GARDNER ALLEN MS, SPED
Early Intervention Provider Agency
14379 RT 9W
RAVENA, NY 12143
Albany County (518) 756-3124
KARA JAYNE RISLEY
Specialist
14379 RT 9W
RAVENA, NY 12143
Albany County (518) 756-3124
MRS. SHANNON A BURNS
Specialist
14379 RT 9W
RAVENA, NY 12143
Albany County (518) 756-3124

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 Mary Mckillop's NPI number?

The NPI number for Mary Mckillop is 1891243218. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Mary Mckillop located?

Mary Mckillop practices at 14379 Rt 9W Circle Of Friends, Ravena, NY 12143. The listed phone number is (518) 756-3124.

What is Mary Mckillop's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Mckillop was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.