Individual provider Active NPI

Timothy Lee Pavlik, B.A., M.A.

  • Marriage & Family Therapist
  • Salinas, CA
National Provider Identifier
1083803662
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
PENDING Issued in CA
Practice address
1270 Natividad Rd
Room 200
Salinas, CA 93906-3122
Phone
(831) 755-4510
Fax
(831) 647-7940
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X PENDING CA Primary

Addresses

Primary practice location

1270 Natividad Rd
Room 200
Salinas, CA 93906-3122

Mailing address

1270 Natividad Rd
Room 200
Salinas, CA 93906-3122
Phone (831) 755-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
PENDINGCAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1083803662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 NATIVIDAD RD",
            "address_2": "ROOM 200",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063122",
            "telephone_number": "831-755-4510",
            "fax_number": "831-647-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 NATIVIDAD RD",
            "address_2": "ROOM 200",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063122",
            "telephone_number": "831-755-4510",
            "fax_number": "831-647-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "B.A., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.