Individual provider Active NPI

Patricia Screvane, MA, CCC/SLP

  • Speech-Language Pathologist
  • Long Island City, NY
National Provider Identifier
1326581828
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011780-1 Issued in NY
Practice address
2116 44TH Rd
Long Island City, NY 11101-5011
Phone
(718) 937-1682
Fax
(718) 937-1847
NPI assigned
Dec 1, 2016
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 011780-1 NY Primary

Addresses

Primary practice location

2116 44TH Rd
Long Island City, NY 11101-5011

Mailing address

27 W 84TH St Apt 3Fe
New York, NY 10024-4854
Phone (646) 491-2415

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
011780-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1326581828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W 84TH ST APT 3FE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244854",
            "telephone_number": "646-491-2415",
            "fax_number": "718-937-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 44TH RD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015011",
            "telephone_number": "718-937-1682",
            "fax_number": "718-937-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCREVANE",
        "first_name": "PATRICIA",
        "credential": "MA, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011780-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.