Jacqueline Booher, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011245-1 Issued in NY

Practice address

8199 E Seneca Tpke
Manlius, NY 13104-2101

Phone

(315) 692-1203

NPI assigned

Oct 20, 2010

Last updated

Mar 31, 2026By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Fayetteville Manlius School District

  • Local Education Agency (LEA)
  • Manlius, NY
  • NPI 1497803753
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1699085837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 WHISPER RIDGE DR",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130379732",
            "telephone_number": "315-440-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 E SENECA TPKE",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042101",
            "telephone_number": "315-692-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "JACQUELINE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011245-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "12010185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "011245-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Best Health for Life
• Ann S Bilharz, MSED
• Earl Robert Black, RPH
• Boles Physical Therapy PLLC
• Youssef Boles
• Tiffany Bottar, PT
• Mark Isidore Boule, D.D.S.
• Joella Bova-Larham, AU.D
• Brian Y Changlai MD PC
• Brian Y Changlai MD PC

• Speech-Language Pathologist in Manlius, NY
• Providers in Manlius, 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 31, 2026; 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.