Individual provider Active NPI

Jaclyn Gayle Darling

  • Speech-Language Assistant
  • New York, NY
National Provider Identifier
1477884542
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
2158650 Issued in NY
Practice address
80 E End Ave
Clarke School
New York, NY 10028-8004
Phone
(212) 585-3500
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 2158650 NY Primary

Addresses

Primary practice location

80 E End Ave
Clarke School
New York, NY 10028-8004

Mailing address

301 E 69TH St
Apt. 4M
New York, NY 10021-5505
Phone (413) 519-7168

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

State licenses

LicenseStateTypeSpecialty
2158650NYMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke School for the Deaf, the Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1477884542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 69TH ST",
            "address_2": "APT. 4M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215505",
            "telephone_number": "413-519-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E END AVE",
            "address_2": "CLARKE SCHOOL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288004",
            "telephone_number": "212-585-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLING",
        "first_name": "JACLYN",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NY",
            "license": "2158650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.