Individual provider Active NPI

Victoria Sarah Pavlovic, L-SLP

  • Speech-Language Pathologist
  • Highland Mills, NY
National Provider Identifier
1619038387
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010995-1 Issued in NY
Practice address
18 Squirrel Hill Rd
Highland Mills, NY 10930-6021
Phone
(845) 534-1258
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 010995-1 NY Primary

Addresses

Primary practice location

18 Squirrel Hill Rd
Highland Mills, NY 10930-6021

Mailing address

18 Squirrel Hill Rd
Highland Mills, NY 10930-6021
Phone (845) 534-1258

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1619038387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SQUIRREL HILL RD",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109306021",
            "telephone_number": "845-534-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SQUIRREL HILL RD",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109306021",
            "telephone_number": "845-534-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "VICTORIA",
        "middle_name": "SARAH",
        "credential": "L-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010995-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.