Jean Szachacz, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011187-1 Issued in NY

Practice address

273 Lake Avenue
Lake Luzerne, NY 12846

Phone

(518) 696-2112

NPI assigned

Aug 9, 2011

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1871872788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 2ND AVE",
            "city": "HADLEY",
            "state": "NY",
            "postal_code": "128352229",
            "telephone_number": "518-696-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 LAKE AVENUE",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "12846",
            "telephone_number": "518-696-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZACHACZ",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011187-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jesse Nicholson
• Joe Quellman, M.D.
• Rockwell Falls Ambulance Service Inc (Luzerne - Hadley EMS)
• Michele R Silva, M.S., CCC/SLP
• Stone'S Pharmacy Inc.
• Gabrielle Vanwie

• Speech-Language Pathologist in Lake Luzerne, NY
• Providers in Lake Luzerne, 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 Aug 9, 2011; 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.