Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174087456 Individual Practitioner Female Practitioner

Jacklyn Nicole Buddenhagen , MA, CF-SLP

Speech-Language Pathologist • Bay Shore, NY

Professional Overview & Biography Verified Profile Summary

Jacklyn Buddenhagen, MA, CF-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bay Shore, NY. Practice services are available at 217 5TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

217 5th Ave

Bay Shore, NY 117066402

Telephone 6319681140

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bay Shore, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Bay Shore, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 029245

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1 Craig B Gariepy Ave

Islip Terrace, NY 117522820

Phone: 6316506545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Veronica Karcher , RN

Registered Nurse - School

NPI 1528343928

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 23, 2020

Registered at 217 5TH AVE, BAY SHORE, NY 117066402 (Tel: 6319681140)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2020

Speech-Language Pathologist (License #029245 in NY)

NPI Profile Active February 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2019

Registered at 1 CRAIG B GARIEPY AVE, ISLIP TERRACE, NY 117522820 (Tel: 6316506545)

📍
Updated Business Mailing Address February 06, 2019

Registered at 26 DEAN ST, NORTH BABYLON, NY 117034104

👤
Provider Name / Credentials Updated February 06, 2019

Recorded as JACKLYN BUDDENHAGEN, MA.,CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174087456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2019
Last Update: April 23, 2020
Sole Proprietor: No

Mailing Address

26 Dean St

North Babylon, NY 117034104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.