Active NPI
Jennifer Lyn Sakowicz, M.S., CCC-SLP
- Speech-Language Pathologist
- Newington, CT
National Provider Identifier
1457629230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004279
- Practice address
- 1268 Main St Ste 204
Newington, CT 06111-3043 - Phone
- (860) 216-1100
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 004279 | CT | Primary |
Addresses
Primary practice location
1268 Main St Ste 204
Newington, CT 06111-3043
Mailing address
130 Federal St
West Hartford, CT 06110-1724
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004279 | CT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1457629230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 FEDERAL ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 MAIN ST STE 204",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061113043",
"telephone_number": "860-216-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKOWICZ",
"first_name": "JENNIFER",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "004279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.