MS. KELLY SYLVANIA VILLAVICENCIO
NPI 1356625230
Speech-Language Pathologist in North Bergen, NJ

Active since October 10, 2011
311 74TH ST, NORTH BERGEN, NJ 07047(551) 556-5218 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kelly Sylvania Villavicencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY SYLVANIA VILLAVICENCIO (NPI 1356625230) is an individual speech-language pathologist provider in North Bergen, New Jersey, licensed in New York (019291) and active in the NPI registry since October 2011. She maintains a secondary practice location in Weehawken.

NPPES Registry Identity

NPI1356625230
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. KELLY SYLVANIA VILLAVICENCIO
Location Address311 74TH STNorth Bergen, NJ 07047-5609
Mailing Address311 74th StNorth Bergen, NJ 07047-5609 · (551) 556-5218
Sole ProprietorYes
Enumeration DateOctober 10, 2011
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
NPI 1356625230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in NY · 019291
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
311 74TH ST, North Bergen, NJ 07047

Secondary Practice Location 1

Location 1849 Boulevard E Apt 4BWeehawken, NJ 07086-7044 · Phone (551) 556-5218

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
311 74TH ST
NORTH BERGEN, NJ 07047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Villavicencio's NPI number?

The NPI number for Kelly Villavicencio is 1356625230. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Kelly Villavicencio located?

Kelly Villavicencio practices at 311 74th St, North Bergen, NJ 07047. The listed phone number is (551) 556-5218.

What is Kelly Villavicencio's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Villavicencio was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.