Jessica O'Kula Berry Fox, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021927-1 Issued in NY

Practice address

74 Everett St
Patchogue, NY 11772-1703

Phone

(845) 321-3453

NPI assigned

Jun 11, 2012

Last updated

Sep 18, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1891057378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ARTHUR AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721834",
            "telephone_number": "845-321-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 EVERETT ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721703",
            "telephone_number": "845-321-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JESSICA",
        "middle_name": "O'KULA BERRY",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Flora, PA
• Rachel Mary Florenz, PA-C
• John Folorunsho
• Dina Nicole Forgione, LMSW
• Courtney Foster
• Tammy J Fox, RN
• Nickolas T. Frangis, PT, DPT
• Frank J. Granati DDS, PLLC
• Fresh Start Counseling, LCSW, PC (Fresh Start Counseling)
• William James Friedel, DDS

• Speech-Language Pathologist in Patchogue, NY
• Providers in Patchogue, 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 Sep 18, 2018; 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.