Joleen R. Fernald Pediatric Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JOLEEN R. FERNALD PEDIATRIC THERAPY SERVICES

Practice address

2114 Seven Springs Blvd Ste 200
New Port Richey, FL 34655-3934

Phone

(603) 498-7825

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Joleen Fernald, PHD, CCC-SLP, BCS-CLNPI 1245367069

Title

Owner

Phone

(603) 498-7825

Specialties & licenses 6

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joleen Fernald

  • Speech-Language Pathologist
  • Trinity, FL
  • NPI 1245367069
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1003540196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 KINSMERE DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554531",
            "telephone_number": "603-498-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 SEVEN SPRINGS BLVD STE 200",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553934",
            "telephone_number": "603-498-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLEEN R. FERNALD PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "FERNALD",
        "authorized_official_first_name": "JOLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-498-7825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, CCC-SLP, BCS-CL"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joleen@JoleenFernald.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2114 Seven Springs Blvd Ste 200",
            "city": "New Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346553934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark F Johnson, MS, CCC-SLP
• Tamasha Johnson, BA
• Zakiya U Johnson
• Lauren Johnston
• Carolyn Elizabeth Johnstone, M.D.
• Desirae Joling-Kuhn, LMHC
• Rebecca A Jonas, ARNP
• Carmela Marie Jones, ARNP
• Crystal Jones, LCSW
• Lily N Jones, D.O.

• Speech-Language Pathologist in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.