Jacqulen Raylene Hamilton, M.A., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34865 Issued in CA

Practice address

2262 N 1St St
San Jose, CA 95131-2022

Phone

(408) 337-2727

NPI assigned

Mar 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JLD Therapy, PC

  • Occupational Therapist
  • San Jose, CA
  • NPI 1366804718

  Speech-Language Pathologist

  NPD
• Joy & Laughter Developmental Therapy

  • Early Intervention Provider Agency
  • Santa Clara, CA
  • NPI 1942622485
  NPD (past)
• Lisa Ann Potter

  • Local Education Agency (LEA)
  • Ashland, KY
  • NPI 1447473822
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1912177205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 POPPY DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411027955",
            "telephone_number": "606-836-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312022",
            "telephone_number": "408-337-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Poppy Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411027955",
            "country_code": "US",
            "telephone_number": "606-836-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JACQULEN",
        "middle_name": "RAYLENE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2970",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "8292",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ruth Anna Hames, CPS
• Hamid M Mehdizadeh, Inc
• Hamilton Avenue Medical Group, Inc.
• Anne Marie Hamilton, FNP-BC
• Haley Rain Hamilton
• Liliana Kossoy Hamlett, MD
• Forrest Robert Hamlin Sr., DO
• Isabel Hammana
• Alexa Hammer
• David Douglas Hammons, MD

• Speech-Language Pathologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.