IndividualActive
Mary Mckillop
NPI 1891243218 · Specialist · Ravena, NY
Mary Mckillop is a Specialist provider in Ravena, NY (NPI 1891243218).
Provider details
- NPI number
- 1891243218
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 304575 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14379 Rt 9w
Circle of Friends
Ravena, NY 12143-3103
Phone: (518) 756-3124
Fax: (518) 756-9476
Street-level locationGet directions
Mailing address
14379 Rt 9w
Ravena, NY 12143-3103
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2016-09-14
Frequently asked questions
- What is Mary Mckillop's NPI number?
- Mary Mckillop's National Provider Identifier (NPI) is 1891243218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Mckillop's specialty?
- Mary Mckillop is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mary Mckillop located?
- Mary Mckillop's practice location on file with NPPES is 14379 Rt 9w, Ravena, NY 12143-3103.
- What is Mary Mckillop's phone number?
- The practice phone number listed in the NPPES registry for Mary Mckillop is (518) 756-3124.
- Is Mary Mckillop's NPI active?
- Yes — Mary Mckillop's NPI (1891243218) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.