Active NPI
Michele a Pavillard D.O.
- Psychiatry Physician
- Corning, NY
National Provider Identifier
1134130487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MICHELE A PAVILLARD D.O.
- Practice address
- 290 E 1St St
Suite 1
Corning, NY 14830-2925 - Phone
- (607) 936-1244
- Fax
- (607) 936-4023
- NPI assigned
- Aug 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele A Pavillard, D.O.
- Title
- D.O.
- Phone
- (607) 936-1244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
290 E 1St St
Suite 1
Corning, NY 14830-2925
Mailing address
111 E 14TH St
Elmira Heights, NY 14903-1303
Phone (607) 734-9539
National Provider Directory
National Provider DirectoryLocations
290 E 1st St
Ste 1
Corning, NY 14830
Phone (607) 936-1244
290 E 1st St
Corning, NY 14830
Phone (607) 725-2389
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Elmira, NY
- NPI 1669562484
-
- Nurse Practitioner
- Corning, NY
- NPI 1558394023
-
- Psychiatric/Mental Health Nurse Practitioner
- Rockford, IL
- NPI 1497188106
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1134130487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 14TH ST",
"city": "ELMIRA HEIGHTS",
"state": "NY",
"postal_code": "149031303",
"telephone_number": "607-734-9539",
"fax_number": "607-734-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 E 1ST ST",
"address_2": "SUITE 1",
"city": "CORNING",
"state": "NY",
"postal_code": "148302925",
"telephone_number": "607-936-1244",
"fax_number": "607-936-4023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELE A PAVILLARD D.O.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAVILLARD",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "D.O.",
"authorized_official_telephone_number": "607-936-1244",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.