Active NPI
Victoria Wolfe Facchin, CCC-SLP
- Speech-Language Pathologist
- Poughkeepsie, NY
National Provider Identifier
1346736766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 034047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ST2815 | ME | MD | Speech-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.