Jessica Nichole Heller, MA, CCC-SLP, TSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030099 Issued in NY

Practice address

495 Hoffman LN Ste 3
Hauppauge, NY 11788-3102

Phone

(631) 650-6545

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Manorville Speech Pathology, PC

  • Early Intervention Provider Agency
  • Wading River, NY
  • NPI 1942443213
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1275199895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WILD RUN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117877522",
            "telephone_number": "631-487-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HOFFMAN LN STE 3",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883102",
            "telephone_number": "631-650-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6144 Route 25A Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Wading River",
            "state": "NY",
            "postal_code": "117922015",
            "country_code": "US",
            "telephone_number": "631-325-7755",
            "fax_number": "631-886-1419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6144 Route 25A Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Wading River",
            "state": "NY",
            "postal_code": "117922015",
            "country_code": "US",
            "telephone_number": "631-325-7755",
            "fax_number": "631-886-1419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Craig B Gariepy Ave",
            "address_purpose": "LOCATION",
            "city": "Islip Terrace",
            "state": "NY",
            "postal_code": "11752",
            "country_code": "US",
            "telephone_number": "631-650-6545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "name_prefix": "Miss",
        "credential": "MA, CCC-SLP, TSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-10-19",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Head Injury Association
• Renee E Hecht, MS CCCSLP
• Scott David Hecht, LCSW-R
• Michele Hein, PA-C
• Ashley Danielle Heinlein, LPN
• Barbara Henke
• Amber A Henry, RN
• Marta Herin, DDS
• Jennifer Caitlin Hernandez
• Tara Alece Hernandez

• Speech-Language Pathologist in Hauppauge, NY
• Providers in Hauppauge, 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 19, 2023; 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.