Mindy Hartman Lavine, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013594-1 Issued in NY

Practice address

551 Bay Rd
Queensbury, NY 12804-1441

Phone

(518) 798-4056

NPI assigned

Nov 2, 2008

Last updated

Nov 2, 2008By the provider in NPPES

Sex

Female

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Associates of Northeastern New York PC

  dba Psychological Associates

  • Psychologist
  • Queensbury, NY
  • NPI 1831246792
  NPD (past)

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225584000000",
    "number": "1588817639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 GRANT AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012634",
            "telephone_number": "518-232-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041441",
            "telephone_number": "518-798-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "MINDY",
        "middle_name": "HARTMAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013594-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Laferriere
• Jacqueline Kay Lamoureux
• Alexandria Marie Lanfear
• Mikayla Barbara Lansing, LMSW
• Nicholas Angelo Lasarso, DPT
• Michael A Layden, M.D.
• Alex Gerald Lazarich, LMSW
• Mieka Leclair, SLP
• Lauren Mary Legere, PNP
• Tara Lehan, LMSW

• Speech-Language Pathologist in Queensbury, NY
• Providers in Queensbury, 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 Nov 2, 2008; 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.