Patrice Kelsey Jean, M.S., CF-SLP

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1045 James St
Syracuse, NY 13203-2730

Phone

(315) 425-1004

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003468562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032730",
            "telephone_number": "315-425-1004",
            "fax_number": "315-422-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032730",
            "telephone_number": "315-425-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 S Salina St Apt 3B",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132021639",
            "country_code": "US",
            "telephone_number": "631-759-6489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN",
        "first_name": "PATRICE",
        "middle_name": "KELSEY",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "pkjean@syr.edu",
            "affiliation": "N",
            "address_1": "1045 James St",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132032730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohammed Jawed, M.D.
• Jayvana R LLC
• JCR Medicine Canal Street PLLC
• Darline Jean-Gilles
• Julliana Jean-Mary, PA
• Lauren Marie Jedrysik
• Jeffrey a. Winfield, M.D.,PH.D.,PC
• Jeffrey D. Winston DC, PC
• Elizabeth Anne Jelloe, DO
• Ashanti N Jenkins

• Developmental Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Developmental Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.