Cognivantage, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COGNIVANTAGE, LLC

Practice address

3322 S Campbell Ave Ste CC-3
Springfield, MO 65807-4980

Phone

(501) 412-5621

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Katherine Slavych, PHD, CCC-SLP, ACUENPI 1225396518

Title

Owner

Phone

(501) 412-5621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie Katherine Slavych, PH.D., CCC-SLP

  • Speech-Language Pathologist
  • Springfield, MO
  • NPI 1225396518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1346012788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034463",
            "telephone_number": "501-412-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 S CAMPBELL AVE STE CC-3",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074980",
            "telephone_number": "501-412-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNIVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "SLAVYCH",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-412-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CCC-SLP, ACUE"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Codutti, ATC
• Craig Patrick Coenen, PSYD
• Ashley L Coffer, COTA/L
• Megan Marie Coffman, ATC
• Brenton Raval Coger, M.D.
• Patricia E Cogswell, LPC
• Iran Neal Cohen, PHD
• Lori J Cohen, M.D.
• Colby Wang, MD, LLC
• Elizabeth J Cole, MA, LPC

• Speech-Language Pathologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.