Bella Mavashev, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017932-1 Issued in NY

Practice address

2370 31St St
Long Island City, NY 11105-2811

Phone

(718) 278-3630

NPI assigned

Apr 28, 2009

Last updated

Dec 1, 2016By the provider in NPPES

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1518101013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 31ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111052811",
            "telephone_number": "718-278-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 31ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111052811",
            "telephone_number": "718-278-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVASHEV",
        "first_name": "BELLA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017932-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Mastromihalis, PHARMD
• Andrew P Matassa, D.C.
• William Mateo
• John V. Matera, RPH
• Kozue Matsuda
• Maxim of New York, LLC (Maxim Healthcare Services)
• Juliane Maxwald-Shrey, MA, LP, CASAC
• Emily Maxwell, OTR/L
• May Healthy Kids Pediatric, P.C
• Madeleine Marie May, PA-C

• Speech-Language Pathologist in Long Island City, NY
• Providers in Long Island City, 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 Dec 1, 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.