Jessica Karen Olender, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024772-1 Issued in NY

Practice address

331 Alberta Dr
Suite 110
Amherst, NY 14226-1813

Phone

(716) 204-5925

Fax

(716) 204-5926

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jessica Sam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1669874244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 OLMSTEAD AVE",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432333",
            "telephone_number": "716-697-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ALBERTA DR",
            "address_2": "SUITE 110",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261813",
            "telephone_number": "716-204-5925",
            "fax_number": "716-204-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENDER",
        "first_name": "JESSICA",
        "middle_name": "KAREN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024772-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04168681",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CLN SP CD: EARLY INTERVENTION",
            "identifier": "325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SAM",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Blessing Okengwu
• Kelly H Olaf, M.S. TSSLD
• Catherine Olczak, CCC-SLP
• Catherine Olczak, LCSW
• Leanne Mary Oldenbrook
• Samantha Anne Olewnik, PA-C
• Maria Lurdes Oliveira, MD
• Jessica Rose Olivieri, LMSW
• Oncology Research & Theraputics, LLC
• Oncology Research Therapuetics

• Speech-Language Pathologist in Amherst, NY
• Providers in Amherst, 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 Feb 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.