Nadiia Pavlenko

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

01078401 Issued in NY

Practice address

4 Avis Dr Ste 101
Latham, NY 12110-2650

Phone

(151) 856-0427

Fax

(518) 662-4277

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom First Psychological Services, PLLC

  • Counseling Psychologist
  • Latham, NY
  • NPI 1225487713
  NPD
• Romero Oncology, PLLC

  • Medical Oncology Physician
  • Latham, NY
  • NPI 1942664768
  NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1013502616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "151-856-0427",
            "fax_number": "518-662-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "151-856-0427",
            "fax_number": "518-662-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLENKO",
        "first_name": "NADIIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "01078401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prakash S Pathare, DDS
• Usha P Pathare, DDS
• Patricia V. Saunders MD, PLLC
• Norman Patterson
• Philip S K Paty, MD
• Nicholas Daniel Pavoldi, SIP, LMT
• Peak Neurophysiology Group, LLC
• Lindsey M Pensabene, LMHC
• Kimberly A Peregrim, D.O.
• Angela Petitti

• Mental Health Counselor in Latham, NY
• Providers in Latham, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.