Individual provider Active NPI

Deborah Anne Palczynski-Savacool

  • Pediatric Occupational Therapist
  • Baldwinsville, NY
National Provider Identifier
1750535142
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
004180-1 Issued in NY
Practice address
70 Edgewood Dr
Baldwinsville, NY 13027-1233
Phone
(315) 638-0032
Fax
(315) 638-0032
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 004180-1 NY
Pediatric Occupational Therapist 225XP0200X 004180-1 NY Primary

Addresses

Primary practice location

70 Edgewood Dr
Baldwinsville, NY 13027-1233

Mailing address

70 Edgewood Dr
Baldwinsville, NY 13027-1233
Phone (315) 638-0032

Other identifiers 1

IdentifierTypeStateIssuer
528372OtherNYONONDAGA COUNTY HEALTH DEPARTMENT - SPECIAL CHILDREN'S SERVICES

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

State licenses

LicenseStateTypeSpecialty
004180-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1750535142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 EDGEWOOD DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271233",
            "telephone_number": "315-638-0032",
            "fax_number": "315-638-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EDGEWOOD DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271233",
            "telephone_number": "315-638-0032",
            "fax_number": "315-638-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCZYNSKI-SAVACOOL",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004180-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "004180-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONONDAGA COUNTY HEALTH DEPARTMENT - SPECIAL CHILDREN'S SERVICES",
            "identifier": "528372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.