Cheryl Small Jackson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

87 Woodlawn Ave
New Rochelle, NY 10804-4620

Phone

(914) 834-9185

NPI assigned

Mar 26, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1588806236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 WOODLAWN AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108044620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 WOODLAWN AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108044620",
            "telephone_number": "914-834-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL JACKSON",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo M Sison
• Diana Joan Skeene
• Marianne Skelly, M.S.
• Rickie Slade Jr.
• Phyllis L Sloate, PHD
• Michelle Small, M.D.
• Tiffany Small
• Smart Integrated Healthcare New York Inc
• Aisha Smith-Ellis
• Alia Smith, RN

• Speech-Language Pathologist in New Rochelle, NY
• Providers in New Rochelle, 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 Mar 26, 2009; 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.