Organization Active NPI

JB Speech Therapy LLC

  • Speech-Language Pathologist
  • Makawao, HI
National Provider Identifier
1164940417
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1547 Issued in HI
Legal business name
JB SPEECH THERAPY LLC
Practice address
368 Aliiolani St
Makawao, HI 96768-8314
Phone
(808) 446-6167
Fax
(808) 579-8049
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jaclynn Brooke Stein, M.S., CCC-SLPNPI 1962836056
Title
Speech-Language Pathologist
Phone
(808) 446-6167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 1547 HI Primary

Addresses

Primary practice location

368 Aliiolani St
Makawao, HI 96768-8314

Mailing address

368 Aliiolani St
Makawao, HI 96768-8314
Phone (808) 446-6167

Other practice location 1

30 Nih Place
Paia, HI 96779
Phone (808) 446-6167

Other practice location 2

30 Nihi Pl
Paia, HI 96779-9606
Phone (808) 446-6167

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164940417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 ALIIOLANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688314",
            "telephone_number": "808-446-6167",
            "fax_number": "808-579-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 ALIIOLANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688314",
            "telephone_number": "808-446-6167",
            "fax_number": "808-579-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 NIH PLACE",
            "address_purpose": "LOCATION",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "96779",
            "country_code": "US",
            "telephone_number": "808-446-6167",
            "fax_number": "808-579-8049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Nihi Pl",
            "address_purpose": "LOCATION",
            "city": "Paia",
            "state": "HI",
            "postal_code": "967799606",
            "country_code": "US",
            "telephone_number": "808-446-6167",
            "fax_number": "808-579-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JB SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JACLYNN",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "808-446-6167",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.