Individual provider Active NPI

Jessica May McGee, M.A. CCC-SLP TSSLD

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1124638267
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
030864 Issued in NY
Practice address
900 Adee Avenue
Bronx, NY 10469
Phone
(917) 796-5833
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 030864 NY Primary

Addresses

Primary practice location

900 Adee Avenue
Bronx, NY 10469

Mailing address

21618 31St Rd
Bayside, NY 11360-2803
Phone (917) 796-5833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
030864NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1124638267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21618 31ST RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602803",
            "telephone_number": "917-796-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ADEE AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10469",
            "telephone_number": "917-796-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "JESSICA",
        "middle_name": "MAY",
        "credential": "M.A. CCC-SLP TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.