Jaclyn Petrassi SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

JACLYN PETRASSI SLP

Practice address

6466 Amberwoods Dr
Boca Raton, FL 33433-3745

Phone

(561) 706-1378

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Jaclyn Petrassi, M.A., CCC-SLPNPI 1487933073

Title

Owner

Phone

(561) 706-1378

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Ann Petrassi, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Boca Raton, FL
  • NPI 1487933073
  NPD Authorized official

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1134718018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6466 AMBERWOODS DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6466 AMBERWOODS DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333745",
            "telephone_number": "561-706-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN PETRASSI SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "PETRASSI",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-706-1378",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Rae Jackson, DPT, PT
• Jahroy Winston Jackson
• Kathryn F Jackson, AUD
• Max Anthony Jackson
• Nadege Jackson, APRN
• Jaclyn Tureff LCSW LLC
• Marni Jacob, PH.D.
• Nirmala Rose Jacob, M.D.
• Sharon Anitha Jacob, DMD
• Adam Jacobs, DO

• Speech-Language Pathologist in Boca Raton, FL
• Providers in Boca Raton, 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 Jan 14, 2021; 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.