Jaclynn Brooke Stein, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1547 Issued in HI

Practice address

368 Aliiolani St
Makawao, HI 96768-8314

Phone

(808) 446-6167

Fax

(808) 579-8049

NPI assigned

Aug 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• JB Speech Therapy LLC

  • Speech-Language Pathologist
  • Makawao, HI
  • NPI 1164940417
  NPD Authorized official
• Imagine Occupational Therapy Services

  • Occupational Therapist
  • Bentonville, AR
  • NPI 1124241120

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962836056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 ALIIOLANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688314",
            "telephone_number": "808-446-6167",
            "fax_number": "808-579-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 ALIIOLANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688314",
            "telephone_number": "808-446-6167",
            "fax_number": "808-579-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 W Centerton Blvd",
            "address_purpose": "LOCATION",
            "city": "Centerton",
            "state": "AR",
            "postal_code": "727198701",
            "country_code": "US",
            "telephone_number": "479-795-1260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Nihi Pl",
            "address_purpose": "LOCATION",
            "city": "Paia",
            "state": "HI",
            "postal_code": "967799606",
            "country_code": "US",
            "telephone_number": "808-446-6167",
            "fax_number": "808-579-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "JACLYNN",
        "middle_name": "BROOKE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#8727",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruhiyyih Napualani Spock, LCSW
• Mark A Stack, PT
• Caroline Ann Starble, BCBA
• Una Starbuck, LMFT
• Oralea Angelina Starr, M.A. CCC-SLP
• Eric Stephenson, LMT, RMT
• Shelly Stevens, LMT, CNMT
• Ashley Theresa Stewart
• Maureen Elizabeth Stiastny, LMT,LAC,MACOM
• Maloah Stillwater, M.A.

• Speech-Language Pathologist in Makawao, HI
• Providers in Makawao, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.