JACLYN W BELLABY (NPI# 1952617656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952617656 |
| Entity Type | Individual |
| Full Name | JACLYN W BELLABY |
| Other Name | JACLYN J WILLETTE |
| Credential | CCC-SLP |
| Practice Address |
4200 Park Ave Jewish Home for The Elderly Bridgeport CT 06604-1049 |
| Practice Telephone | 2033656400 |
| Mailing Telephone | 2033656400 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 021031 | NY | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 4160 | CT | Speech, Language and Hearing Service Providers |
| Street Address |
4200 PARK AVE JEWISH HOME FOR THE ELDERLY |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602346 | Jewish Home for The Elderly of Fairfield County Incorporated | Skilled Nursing Facility | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2005-10-11 |
| 1760012090 | Pamela Simpson | Licensed Practical Nurse | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2020-01-26 |
| 1053959965 | Lori Mihalov | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2019-12-11 |
| 1861048068 | Jessica Buckley | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2019-08-13 |
| 1194385682 | Diego Ernesto Aguillon | Physical Therapy Assistant | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2019-06-17 |
| 1962968347 | Rachneet Singh | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2019-02-11 |
| 1508337866 | Amber Bjerke | Physical Medicine & Rehabilitation | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2018-12-16 |
| 1366911588 | Madison Altermatt | Occupational Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2018-11-16 |
| 1851877518 | Bonnie Mullally | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2018-07-16 |
| 1205324266 | Mary Louise Evans | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2018-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| 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 |
|---|---|---|---|---|
| 1003260126 | Lisa Lussetto | Speech-Language Pathologist | 800 Q St, Bridgeport, NE 69336-2519 | 2016-04-14 |
| 1265677736 | Cosme Torres Bilingual Speech Services, LLC | Speech-Language Pathologist | 49 Cannon St Ste 208, Bridgeport, CT 06604-4251 | 2008-12-11 |
| 1174727283 | Stacy Elizabeth Bastin | Speech-Language Pathologist | 765 Brightridge Dr, Bridgeport, WV 26330-1172 | 2007-06-13 |
| 1033312574 | Lakeside Therapy Group | Speech-Language Pathologist | 765 Brightridge Drive, Bridgeport, WV 26330 | 2007-06-11 |
| 1356544191 | United Cerebral Palsy of Southern Connecticut Inc. | Speech-Language Pathologist | 2326 E Main St, Bridgeport, CT 06610-1801 | 2007-06-08 |
| 1114140928 | Francesca Mullen | Speech-Language Pathologist | Route 4 Box 17, Bridgeport, WV 26330 | 2007-04-10 |
| 1487741930 | Amanda Beth Longwell | Speech-Language Pathologist | 230 Grande Mdws, Bridgeport, WV 26330-9711 | 2006-10-06 |
| 1043310758 | Rebecca Leeanne Brammer | Speech-Language Pathologist | 12 Coolview Ln, Bridgeport, WV 26330-1009 | 2006-09-23 |
| 1306443296 | Zachary Edward Cipriano | Speech-Language Pathologist | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-10-05 |
| 1154937019 | Holly Jude | Speech-Language Pathologist | 1000 Maplewood Dr, Bridgeport, WV 26330-9115 | 2020-09-16 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.