Jenna Ellen Cassidy, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029371 Issued in NY

Practice address

1340 E 29TH St
Brooklyn, NY 11210-5315

Phone

(718) 758-8970

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1841837739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105315",
            "telephone_number": "718-758-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105315",
            "telephone_number": "718-758-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "JENNA",
        "middle_name": "ELLEN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdemaio5@schools.nyc.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1340 E 29th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112105315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Casseus, MD
• Rose Casseus
• Sandie Casseus, COTA
• Cassian K Li MD PC
• Cassian Li MD PC
• Jennifer Cassidy, LMSW
• Patricia Irene Cassidy, L.AC.
• Rochelle Cassie, CNM
• Silvina I. Cassinelli
• Claudia Cassira, MA OTR

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Dec 10, 2019; 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.