Jamela Borne Robson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.010221 Issued in IL

Practice address

121 Pomeroy Ave
Crystal Lake, IL 60014-5922

Phone

(904) 414-6267

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marigold Pediatric Therapy Services LLC

  • Hearing and Speech Clinic/Center
  • Crystal Lake, IL
  • NPI 1275199150
  NPD (past)
• Milestones Therapy Center P.C.

  • Occupational Therapist
  • Crystal Lake, IL
  • NPI 1275792616
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1134430101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 POMEROY AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145922",
            "telephone_number": "904-414-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 POMEROY AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145922",
            "telephone_number": "904-414-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBSON",
        "first_name": "JAMELA",
        "middle_name": "BORNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010221",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jrobson@marigoldpediatrictherapies.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "121 Pomeroy Ave",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600145922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Rivera, BT
• Bradford C Roberg, M.D.
• Robert F Patte DPM
• Jane Robertson, LCSW
• Michael E Robinson, O.D.
• Thomas Robson, D.C.
• Colleen Ann Rodgers, COTA
• Daisi Rodriguez
• M. Kristeen Rogers, RN, BSN, IBCLC
• Michele Rogers

• Speech-Language Pathologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.