Jacqueline Schallmo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028094-1 Issued in NY

Practice address

1445 Clifford Ave
Rochester, NY 14621-4220

Phone

(585) 325-6945

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1215412739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HOWELL RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 CLIFFORD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146214220",
            "telephone_number": "585-325-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLMO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028094-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derace Lan Schaffer, M.D.
• Stanley J Schaffer, MD
• Cole Asaro Schailey, DO
• Erin Schall, DPT
• Rebecca Schallek, M.D.
• Heinz Leo Schamberger, DC
• Nicholas George Schamberger, DC
• Wiljar Theresa Schanck, M.ED., PHD
• Paula Schank, BS, LMT
• Amanda Schantz

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.