Active NPI
Jaclyn G Schneider, M.A., CCC-SLP
- Speech-Language Pathologist
- Glenview, IL
National Provider Identifier
1881942159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1308 Waukegan Rd
Suite 103
Glenview, IL 60025-3070 - Phone
- (877) 486-4140
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1308 Waukegan Rd
Suite 103
Glenview, IL 60025-3070
Mailing address
1802 Elmwood Dr
Highland Park, IL 60035-2303
Phone (847) 791-5810
Other names 1
- Jaclyn B Goldman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1881942159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 ELMWOOD DR",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352303",
"telephone_number": "847-791-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 WAUKEGAN RD",
"address_2": "SUITE 103",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253070",
"telephone_number": "877-486-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "JACLYN",
"middle_name": "G",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "GOLDMAN",
"middle_name": "B",
"credential": "M.A., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.