Jeanne Marie Squillante, MS-CCC-SLP; TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

031595 Issued in NY

Practice address

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Phone

(631) 509-4115

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1255073086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BEVERLY AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623621",
            "telephone_number": "516-761-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761217",
            "telephone_number": "631-509-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117586297",
            "country_code": "US",
            "telephone_number": "516-308-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Beverly Ave",
            "address_purpose": "LOCATION",
            "city": "Massapequa Park",
            "state": "NY",
            "postal_code": "117623621",
            "country_code": "US",
            "telephone_number": "516-761-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUILLANTE",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "MS-CCC-SLP; TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Nicole Spinelli
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• Lori J Spitz
• Elizabeth Sprung
• Denise Squillante
• Karen Stamatopoulos, CCC-SLP
• Star Dental Care II PC
• Kayla Rose Starke
• Christine Stegman, LMSW
• Jeffrey Peter Steigman, PSY.D.

• Speech-Language Pathologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Apr 12, 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.