Beatrice Pavlik

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101008201 Issued in MI

Practice address

1000 Edison Ave NW
Grand Rapids, MI 49504-3918

Phone

(616) 453-2475

NPI assigned

Feb 20, 2025

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1457157430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 VALLEY VISTA DR APT 103",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267975",
            "telephone_number": "630-853-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDISON AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043918",
            "telephone_number": "616-453-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "BEATRICE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Leigh Pavey, DPT
• Katherine Pavey
• Amy Pavlak, PHARM.D.
• Whit Pavlica
• Ashleigh Renee Pavlik, B.S
• Corrin Sade Pawl-Castanon
• Brenda Lee Pawl, M.S.N., A.P.R.N., B.
• Patrick Daniel Pawlaczyk, MD
• Kaitlynn R Pawlak, PT, DPT
• Aryn Jane Pawloski, LMSW

• Speech-Language Pathologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.