Active NPI
Mary E Jacobi, M.A. CCC/SLP
- Speech-Language Pathologist
- Penfield, NY
National Provider Identifier
1447544853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004391-1
- Practice address
- 2126 Penfield Rd
Penfield, NY 14526-1736 - Phone
- (585) 249-6600
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004391-1 | NY | Primary |
Addresses
Primary practice location
2126 Penfield Rd
Penfield, NY 14526-1736
Mailing address
PO Box 900
Penfield Central School District
Penfield, NY 14526-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004391-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1447544853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 900",
"address_2": "PENFIELD CENTRAL SCHOOL DISTRICT",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145260900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261736",
"telephone_number": "585-249-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBI",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "M.A. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "004391-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.