Individual provider Active NPI

Jessica Joyce Morrice-Porrino, MS CCC-SLP

  • Speech-Language Pathologist
  • Queens Village, NY
National Provider Identifier
1164651303
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012574 Issued in NY
Practice address
8030 210TH St
Queens Village, NY 11427
Phone
(917) 282-3750
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 012574-1 NY
Speech-Language Pathologist 235Z00000X 012574 NY Primary

Addresses

Primary practice location

8030 210TH St
Queens Village, NY 11427

Mailing address

8030 210TH St
Queens Village, NY 11427-1011
Phone (718) 464-9779

Other practice location 1

90 Henry St
Inwood, NY 11096-2335
Phone (718) 327-3401

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 Science

State licenses

LicenseStateTypeSpecialty
012574-1NYMDOccupational Therapist
012574NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1164651303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 210TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271011",
            "telephone_number": "718-464-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 210TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11427",
            "telephone_number": "917-282-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Henry St",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "NY",
            "postal_code": "110962335",
            "country_code": "US",
            "telephone_number": "718-327-3401",
            "fax_number": "718-327-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRICE-PORRINO",
        "first_name": "JESSICA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012574-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.