Ashley Christine Polak, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009991 Issued in PA

Practice address

2010 Adams Ave
Scranton, PA 18509-1599

Phone

(570) 963-1278

Fax

(570) 963-1292

NPI assigned

Jul 9, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• St. Joseph'S Center

  • Pediatric Skilled Nursing Facility
  • Scranton, PA
  • NPI 1053779561
  NPD (past)
• St. Joseph'S Center

  • Intellectual Disabilities Intermediate Care Facility
  • Scranton, PA
  • NPI 1316075419

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1164734919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091599",
            "telephone_number": "570-963-1278",
            "fax_number": "570-963-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091599",
            "telephone_number": "570-963-1278",
            "fax_number": "570-963-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAK",
        "first_name": "ASHLEY",
        "middle_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024917060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melony Suzanne Plisko, CRNP
• Candace Mary Plociniak, CRNP
• Michael P. Podobinski, PA-C
• Erin Pohutsky, MS, BCBA, LBS
• Poinnt Balance the Center
• Vaibhavi Polavarapu, M.D.
• Jude Anthony Polit Moran, MD
• Cristian Camilo Politi Gonzalez, DO
• Elizabeth Ann Pompey, PA-C
• Georgette Ponce

• Speech-Language Pathologist in Scranton, PA
• Providers in Scranton, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.