Michele A Pavillard, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

186609 Issued in NY

Practice address

290 E 1St St
Suite 1
Corning, NY 14830-2925

Phone

(607) 936-1244

Fax

(607) 936-4023

NPI assigned

Jul 8, 2006

Last updated

Oct 21, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

• Michele a Pavillard D.O.

  • Psychiatry Physician
  • Corning, NY
  • NPI 1134130487
  Authorized official Same address or phone

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1831122399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E 1ST ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302925",
            "telephone_number": "607-936-1244",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E 1ST ST",
            "address_2": "SUITE 1",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302925",
            "telephone_number": "607-936-1244",
            "fax_number": "607-936-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVILLARD",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "186609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cliq",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "290 E 1st St",
            "address_2": "Suite 1",
            "city": "Corning",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148302925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pathways, Inc
• Pathways, Inc.
• Pathways, Inc.
• Tamara Zandra Paul, FNP-C
• Pavilion Operations, LLC (Corning Center for Rehabilitation and Healthcare)
• Patricia D. Pavlick, FNP
• Perri Pease, PT
• Ashley Mae Perez, LCSW
• Zachary Phenes, MS, FNP-BC
• Beth F Pitts, RN

• Psychiatry Physician in Corning, NY
• Providers in Corning, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.