Individual provider Active NPI

Isaac Shladovsky, M.A.

  • Mental Health Counselor
  • East Windsor, NJ
National Provider Identifier
1760641237
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
35S100054800 Issued in NJ
Practice address
140 Probasco Rd
East Windsor, NJ 08520-5515
Phone
(609) 336-7044
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 35S100054800 NJ Primary

Addresses

Primary practice location

140 Probasco Rd
East Windsor, NJ 08520-5515

Mailing address

140 Probasco Rd
East Windsor, NJ 08520-5515
Phone (609) 336-7044

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
35S100054800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service of Greater Mercer County PastSince Sep 1, 1998 Accepting new patients

Organizations & group practices 1

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1760641237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROBASCO RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205515",
            "telephone_number": "609-336-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROBASCO RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205515",
            "telephone_number": "609-336-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLADOVSKY",
        "first_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "35S100054800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.