Individual provider Active NPI

Avivit Ben-Aharon, MA CCC-SLP

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1689717845
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8787 Issued in FL
Practice address
Telemedicine Services
3389 Sheridan St. #113
Hollywood, FL 33021
Phone
(954) 284-8482
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 SA 8787 FL Primary

Addresses

Primary practice location

Telemedicine Services
3389 Sheridan St. #113
Hollywood, FL 33021

Mailing address

3389 Sheridan St # 113
Hollywood, FL 33021-3606
Phone (954) 284-8482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220209002631 FL Practitioner - Qualified Speech Language Pathologist 2860885183 Reassigns benefits to 1 organization
I20221015000114 CA Practitioner - Qualified Speech Language Pathologist 2860885183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA 8787FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Speech Inc Current Accepting new patients
Great Therapy Group LLC Speech-Language Pathologist CurrentSince Sep 26, 2011 Accepting new patients
Cora Health Services, Inc PastSince Nov 1, 2020 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

3389 Sheridan St
Hollywood, FL 33021
Phone (954) 247-8757

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1689717845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 SHERIDAN ST # 113",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "954-284-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TELEMEDICINE SERVICES",
            "address_2": "3389 SHERIDAN ST. #113",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-284-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-AHARON",
        "first_name": "AVIVIT",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.