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KELLY HULLIHAN MS
NPI 1912539537
Speech-Language Pathologist in San Diego, CA

Active since February 11, 2020Accepts Medicare Assignment
15004 INNOVATION DR, SAN DIEGO, CA 92128(858) 605-7189 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Hullihan Ms NPPES

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

KELLY HULLIHAN MS (NPI 1912539537) is an individual speech-language pathologist provider in San Diego, California, licensed in California (SP28544) and active in the NPI registry since February 2020. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1912539537
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY HULLIHANCredential: MS
Location Address15004 INNOVATION DRSan Diego, CA 92128-3491
Mailing Address10790 Rancho Bernardo Rd # 4s-205San Diego, CA 92127-5705 · (858) 927-5775
Phone(858) 605-7189
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 11, 2020
✔ NPI 1912539537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · SP28544
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
15004 INNOVATION DR, San Diego, CA 92128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Hullihan Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305375692
PECOS Enrollment IDI20250131001214

Medicare Billing Reassignment

Medicare enrollment records show Kelly Hullihan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Life Physical Therapy Services, PC
107 mi
Physical Therapist
201 N CRESCENT DR
Beverly Hills, CA 90210
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1285160788 (424) 313-5988

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. MARGARET ANN FULLER
Occupational Therapist (Physical Rehabilitation)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
JON GARRELTS
Physical Therapist (Sports)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
DR. PAULA GRAYSON
Pediatrics
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7969
DR. MATTHEW J. PERL M.D.
Emergency Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7171
DR. MICHAEL DAVID LEE M.D.
Family Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
PATRICE SNYDER
Occupational Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
AMY JOELLE CHAMBERLAIN PT
Physical Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
SANDRA A. SALLEE N.P.
Nurse Practitioner
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800

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 Kelly Hullihan's NPI number?

The NPI number for Kelly Hullihan is 1912539537. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Kelly Hullihan located?

Kelly Hullihan practices at 15004 Innovation Dr, San Diego, CA 92128. The listed phone number is (858) 605-7189.

What is Kelly Hullihan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Hullihan enrolled in Medicare?

Yes. Kelly Hullihan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Hullihan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hullihan reassigns Medicare benefits to New Life Physical Therapy Services, PC (Beverly Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Hullihan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Hullihan was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.