Diane Scavullo Miller, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010517 Issued in NY

Practice address

42 Michelle Dr
Clifton Park, NY 12065-1670

Phone

(518) 320-4912

NPI assigned

Apr 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1417311697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MICHELLE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651670",
            "telephone_number": "518-320-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MICHELLE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651670",
            "telephone_number": "518-320-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DIANE",
        "middle_name": "SCAVULLO",
        "credential": "CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D. Wood, PT, PC
• Michael Dudick
• David Michalowski, RPH
• Carol Onyango Middernacht, D.M.D
• Carrie Anne Nancy Milham, LCSW-R
• Donna M Miller, PTA
• Harry S Miller, M.D.
• Jennifer Earle Miller, M.D.
• Jennifer Elizabeth Miller, M.S.
• Kaeley Miller, MD

• Speech-Language Pathologist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.