Deanna Marie Jannicelli Corby, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00577200 Issued in NJ

Practice address

912 Pompton Ave Ste B1
Cedar Grove, NJ 07009-1264

Phone

(973) 239-1176

NPI assigned

Jul 13, 2008

Last updated

Apr 13, 2021By the provider in NPPES

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Pediatric Therapy Center of NJ LLC

  • Occupational Therapist
  • Cedar Grove, NJ
  • NPI 1083294003

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1598929127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 POMPTON AVE STE B1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091264",
            "telephone_number": "973-239-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 POMPTON AVE STE B1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091264",
            "telephone_number": "973-239-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNICELLI CORBY",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00577200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Hughes, MD
• Jamila Hughley, LCSW
• Inspiration Inc
• Elina Isaacson, MS,OTR/L
• Andrea Olha Jablonskyj
• Carissa L Jannicelli-Pampanin, OCCUPATIONAL THERAPI
• Sarah E Jarocki, M.A., CCC-SLP
• Marcus Taylor Jasmin, LAC, NCC
• Alyssa Maria Kees
• Kimberly A Kerney, M.S. CCC-SLP, PC

• Speech-Language Pathologist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.