NPIMap

Individual provider Active NPI

Haley Vinick, OTR/L

  • Pediatric Occupational Therapist
  • West Orange, NJ
National Provider Identifier
1285076604
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
018192 Issued in NY
Practice address
25 Coggins LN
West Orange, NJ 07052-2195
Phone
(973) 981-1861
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 018192 NY
Environmental Modification Occupational Therapist 225XE0001X 018192 NY
Ergonomics Occupational Therapist 225XE1200X 018192 NY
Human Factors Occupational Therapist 225XH1300X 018192 NY
Mental Health Occupational Therapist 225XM0800X 018192 NY
Neurorehabilitation Occupational Therapist 225XN1300X 018192 NJ
Physical Rehabilitation Occupational Therapist 225XP0019X 018192 NY
Pediatric Occupational Therapist 225XP0200X 018192 NY Primary

Addresses

Primary practice location

25 Coggins LN
West Orange, NJ 07052-2195

Mailing address

25 Coggins LN
West Orange, NJ 07052-2195
Phone (973) 981-1861

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

State licenses

LicenseStateTypeSpecialty
018192NYMDHuman Factors Occupational Therapist
018192NJMDNeurorehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1285076604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COGGINS LN",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522195",
            "telephone_number": "973-981-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COGGINS LN",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522195",
            "telephone_number": "973-981-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINICK",
        "first_name": "HALEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018192",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NY",
            "license": "018192",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NY",
            "license": "018192",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "NY",
            "license": "018192",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NY",
            "license": "018192",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "018192",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "018192",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "018192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.