Organization Active NPI

JLM Speech-Language Services, Inc.

  • Speech-Language Pathologist
  • Enfield, CT
National Provider Identifier
1609387372
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005350 Issued in CT
Legal business name
JLM SPEECH-LANGUAGE SERVICES, INC.
Practice address
76 Palomba Dr Ste 2
Enfield, CT 06082-3876
Phone
(860) 698-6576
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Authorized official

Name
Mrs. Jodi Lynne McKenna, M.S., CCC-SLP
Title
Owner/President
Phone
(413) 222-3372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 005350 CT Primary

Addresses

Primary practice location

76 Palomba Dr Ste 2
Enfield, CT 06082-3876

Mailing address

PO Box 125
Enfield, CT 06083-0125
Phone (860) 698-6576

National Provider Directory

National Provider Directory

Locations

76 Palomba Dr
Ste 2
Enfield, CT 06082
Phone (860) 698-6576

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1609387372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060830125",
            "telephone_number": "860-698-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PALOMBA DR STE 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823876",
            "telephone_number": "860-698-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM SPEECH-LANGUAGE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "413-222-3372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "005350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.