Nancy Slobodnik

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1471 Issued in ME

Practice address

1 VA Ctr # 28
Augusta, ME 04330-6719

Phone

(207) 626-4788

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD

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.

• Health Access Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1467468215
  NPD
• Health Access Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1295993616
  NPD
• Health Access Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Millinocket, ME
  • NPI 1760640189
  NPD
• State of Maine

  • Psychiatric Hospital
  • Augusta, ME
  • NPI 1053319566
  NPD
• State of Maine

  • Psychiatric Hospital
  • Bangor, ME
  • NPI 1699776146
  NPD

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1942652656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 HOLLYWOOD BLVD",
            "city": "ALNA",
            "state": "ME",
            "postal_code": "045353038",
            "telephone_number": "207-350-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VA CTR # 28",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306719",
            "telephone_number": "207-626-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODNIK",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1471",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "#35SI00379800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory J Skillman, LMSW-CC
• Carol Slattery
• Pamela Slaughter
• Ivelisse Slaven, LCSW
• Sleepmed Therapies
• Dorothy Smail
• Smart Vision, LLC
• Helen R Smart-Perille, PSY.D.
• Andrew Taylor Smith III, D.P.M
• Bradford D Smith, OD

• Clinical Psychologist in Augusta, ME
• Providers in Augusta, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.