Individual provider Active NPI

Victoria Wolfe Facchin, CCC-SLP

  • Speech-Language Pathologist
  • Poughkeepsie, NY
National Provider Identifier
1346736766
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034047 Issued in NY
Practice address
140 Main St
Poughkeepsie, NY 12601-3018
Phone
(845) 454-7600
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ST2815 ME
Speech-Language Pathologist 235Z00000X 006527 CT
Speech-Language Pathologist 235Z00000X 034047 NY Primary

Addresses

Primary practice location

140 Main St
Poughkeepsie, NY 12601-3018

Mailing address

36 Hillis Ter
Poughkeepsie, NY 12603-5812
Phone (860) 885-9286

Other practice location 1

1 Glen Hill Rd
Danbury, CT 06811-4921
Phone (203) 744-2840

Other practice location 2

33 Lincoln Ave
Danbury, CT 06810-7963
Phone (203) 797-9300

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

State licenses

LicenseStateTypeSpecialty
ST2815MEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1346736766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HILLIS TER",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035812",
            "telephone_number": "860-885-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013018",
            "telephone_number": "845-454-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Glen Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068114921",
            "country_code": "US",
            "telephone_number": "203-744-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068107963",
            "country_code": "US",
            "telephone_number": "203-797-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FACCHIN",
        "first_name": "VICTORIA",
        "middle_name": "WOLFE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST2815",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "006527",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; 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.