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VIVIAN BLACK CCC SLP
NPI 1639629686
Speech-Language Pathologist in Saratoga Springs, NY

Active since October 13, 2016
1 BLUE STREAK BLVD, SARATOGA SPRINGS, NY 12866(518) 587-6690 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2022, Oct 13, 2016 (2 updates tracked since 2016).

About Vivian Black Ccc Slp NPPES

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

VIVIAN BLACK CCC SLP (NPI 1639629686) is an individual speech-language pathologist provider in Saratoga Springs, New York, licensed in New York (032067-01) and active in the NPI registry since October 2016. She maintains a secondary practice location in Sunderland and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639629686
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameVIVIAN BLACKCredential: CCC SLP
Location Address1 BLUE STREAK BLVDSaratoga Springs, NY 12866-5952
Mailing Address3 Matilda StAlbany, NY 12209-1507
Phone(518) 587-6690
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2016
Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1639629686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 032067-01
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.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1 BLUE STREAK BLVD, Saratoga Springs, NY 12866
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Secondary Practice Location 1

Location 1108 N Main StSunderland, MA 01375-9502 · Phone (413) 665-8717

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivian Black Ccc Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355840414
PECOS Enrollment IDI20250815002648

Other Providers at the Same Location NPPES

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

MICHAELA MURPHY MSW
Social Worker
1 BLUE STREAK BLVD
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 414-1150

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 Vivian Black's NPI number?

The NPI number for Vivian Black is 1639629686. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Where is Vivian Black located?

Vivian Black practices at 1 Blue Streak Blvd, Saratoga Springs, NY 12866. The listed phone number is (518) 587-6690.

What is Vivian Black's specialty?

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

Is Vivian Black enrolled in Medicare?

Yes. Vivian Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Black was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.