Individual provider Active NPI

Venita Marie Litvack, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1891087391
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14270 Issued in FL
Practice address
3335 N University Dr
Suite 5
Hollywood, FL 33024-2200
Phone
(954) 442-9422
Fax
(954) 442-9150
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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 SA14270 FL Primary

Addresses

Primary practice location

3335 N University Dr
Suite 5
Hollywood, FL 33024-2200

Mailing address

3335 N University Dr
Suite 5
Hollywood, FL 33024-2200
Phone (954) 442-9422

Other identifiers 3

IdentifierTypeStateIssuer
SZ6977OtherFLDEPARTMENT OF HEALTH
884449600MedicaidFL
SA 14270OtherFLDEPARTMENT OF HEALTH

Other names 1

  • Ms. Venita Marie Freia Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Speech Center Speech-Language Pathologist Past Accepting new patients
Specialized Speech Center, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1891087391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 N UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242200",
            "telephone_number": "954-442-9422",
            "fax_number": "954-442-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 N UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242200",
            "telephone_number": "954-442-9422",
            "fax_number": "954-442-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVACK",
        "first_name": "VENITA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "SZ6977",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884449600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "SA 14270",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENITA",
            "last_name": "FREIA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MA, CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 22, 2015; 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.