Michal Namatiev, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017217 Issued in NY

Practice address

16426 72ND Ave
Fresh Meadows, NY 11365-4232

Phone

(134) 732-3527

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1144553629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16426 72ND AVE",
            "address_2": "FRESH MEADOWS",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654232",
            "telephone_number": "134-732-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16426 72ND AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654232",
            "telephone_number": "134-732-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMATIEV",
        "first_name": "MICHAL",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.