Vivian Bollag, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014618-1 Issued in NY

Practice address

2425 Kings Hwy
A9
Brooklyn, NY 11229-1670

Phone

(718) 338-1729

NPI assigned

Sep 17, 2010

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 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 and National Provider Directory roles.

• Adler Molly Gurland L.L.C

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1902116072
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1689982258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 KINGS HWY",
            "address_2": "SUITE A9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291670",
            "telephone_number": "718-338-1729",
            "fax_number": "718-338-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 KINGS HWY",
            "address_2": "A9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291670",
            "telephone_number": "718-338-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAG",
        "first_name": "VIVIAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014618-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lee Bolembach
• Shakhnoza Bolieva
• Darko Boljevic, MD
• Natalia Bolkvadze
• Leah Bollag
• Kevin Bollers
• Steve Bollers
• Angelina Bolles, PHARMD
• Susan Marie Bolles, LCSW
• Yamini Bollineni

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Sep 17, 2010; 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.