Individual provider Active NPI

Valeria Krivelevich, MA, CCC-SLP

  • Speech-Language Pathologist
  • Great Neck, NY
National Provider Identifier
1346679057
Registry record updated Nov 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020388 Issued in NY
Practice address
4 Lodge Rd
Great Neck, NY 11021-3912
Phone
(732) 589-0147
NPI assigned
Nov 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2013

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 020388 NY Primary

Addresses

Primary practice location

4 Lodge Rd
Great Neck, NY 11021-3912

Mailing address

4 Lodge Rd
Great Neck, NY 11021-3912
Phone (732) 589-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415002189 NY Practitioner - Qualified Speech Language Pathologist 9931427358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 Voorhies Ave
Suite 1a
Brooklyn, NY 11235-3313
Phone (718) 616-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Expression Speech Therapy PLLC Speech-Language Pathologist CurrentSince Mar 5, 2015 Accepting new patients

Locations

1810 Voorhies Ave
Ste 1A
Brooklyn, NY 11235
Phone (718) 616-1000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383436800000",
    "number": "1346679057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LODGE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213912",
            "telephone_number": "732-589-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LODGE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213912",
            "telephone_number": "732-589-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVELEVICH",
        "first_name": "VALERIA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-03",
        "last_updated": "2013-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.