Jillian P St. Denis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029777-01 Issued in NY

Practice address

20 Summit St
Nyack, NY 10960-3006

Phone

(845) 300-8247

NPI assigned

Jun 26, 2020

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

Other identifiers 2

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1295352201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUMMIT ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603006",
            "telephone_number": "845-300-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SUMMIT ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603006",
            "telephone_number": "845-300-8247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107013712",
            "country_code": "US",
            "telephone_number": "845-300-8247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. DENIS",
        "first_name": "JILLIAN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029777-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14336968",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "029777-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Simone Southwell
• Amelie Southwood, LMHC
• Speech Language Pathology Unlimited, PLLC
• Aleksandra Spektor
• Michael Bart Sperling, PH.D.
• Anne Margaret Starke, RN
• Amy Stearns Kaye, LCSW
• Lauren Ann Steinfeld-Cavuoto, LCSW
• Olivia Sterling, LCSW
• D. Anne Stewart, ACC, CWC

• Speech-Language Pathologist in Nyack, NY
• Providers in Nyack, 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 Jun 26, 2020; 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.