Individual provider Active NPI

Diana L. Slaviero, PH.D.

  • Clinical Psychologist
  • Aurora, IL
National Provider Identifier
1235344870
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007516 Issued in IL
Practice address
75 Executive Dr
Suite 429
Aurora, IL 60504-8137
Phone
(630) 405-8633
Fax
(630) 225-5322
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071007516 IL Primary

Addresses

Primary practice location

75 Executive Dr
Suite 429
Aurora, IL 60504-8137

Mailing address

75 Executive Dr
Suite 429
Aurora, IL 60504-8137
Phone (630) 405-8633

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071007516ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1235344870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE 429",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048137",
            "telephone_number": "630-405-8633",
            "fax_number": "630-225-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "address_2": "SUITE 429",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048137",
            "telephone_number": "630-405-8633",
            "fax_number": "630-225-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIERO",
        "first_name": "DIANA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.