JACLYN MARIE WATSON (NPI# 1578006052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578006052 |
| Entity Type | Individual |
| Full Name | JACLYN MARIE WATSON |
| Credential | M.A. CCC-SLP |
| Practice Address |
5637 188th St Fresh Meadows NY 11365-2230 |
| Mailing Address |
1980 Croydon Dr Merrick NY 11566-2302 |
| Practice Telephone | 7183574650 |
| Mailing Telephone | 5166593098 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 023617 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759109 | Jaclyn Watson | Counselor | 417 E Pioneer Ste B, Puyallup, WA 98372-3267 | 2017-09-12 |
| Street Address |
5637 188TH ST |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720397243 | Jamie Hughes | Speech-Language Pathologist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2010-10-01 |
| 1487198396 | Karen Rivelli-daniello | Speech-Language Pathologist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2016-12-12 |
| 1497299713 | Carol Denise Di Marco | Speech-Language Pathologist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2016-12-05 |
| 1922541366 | Breda Paccione | Speech-Language Pathologist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2016-12-01 |
| 1023551637 | Leor Samuels | Speech-Language Pathologist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2016-11-30 |
| 1437569258 | Marissa Sosin | Speech-Language Pathologist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2014-05-01 |
| 1396006912 | Vernica A Shrouder | Registered Nurse | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2012-05-30 |
| 1437416070 | Michelle Marie Knowles | Registered Nurse | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2012-04-20 |
| 1760759336 | Pei-tsung Jen | Physical Therapist | 5637 188th St, Fresh Meadows, NY 11365-2230 | 2011-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255872750 | Elina Fay | Speech-Language Pathologist | 7603 176th St, Fresh Meadows, NY 11366-1513 | 2017-03-16 |
| 1992248660 | Michelle Grossman | Speech-Language Pathologist | 6942 173rd St, Fresh Meadows, NY 11365-3445 | 2016-11-29 |
| 1205379088 | Gina Marasa-catania | Speech-Language Pathologist | 6420 175th St, Fresh Meadows, NY 11365-2136 | 2016-11-28 |
| 1912360496 | Jennifer Hernandez | Speech-Language Pathologist | 6430 184th St, Fresh Meadows, NY 11365-2131 | 2016-04-01 |
| 1235591850 | Victoria Rubinov | Speech-Language Pathologist | 7602 169th St, Fresh Meadows, NY 11366-1340 | 2016-03-23 |
| 1306229406 | Marjory Yeung | Speech-Language Pathologist | 7301 162nd St, Fresh Meadows, NY 11366-1138 | 2015-07-07 |
| 1639551542 | Alexandra E Hom | Speech-Language Pathologist | 7133 165th St, Fresh Meadows, NY 11365-4225 | 2015-06-27 |
| 1225416514 | Marina Yakobov | Speech-Language Pathologist | 6700 192nd St Apt 404, Fresh Meadows, NY 11365-3735 | 2015-05-07 |
| 1235531765 | Sharon Sutton | Speech-Language Pathologist | 7527 180th Street, Fresh Meadows, NY 11366 | 2014-09-16 |
| 1629484829 | Morgan Mcdermott | Speech-Language Pathologist | 16224 75th Rd, 2nd Fl, Fresh Meadows, NY 11366-1132 | 2014-07-08 |
| Find all providers in FRESH MEADOWS | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.