Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841668183 Individual Practitioner Female Practitioner

Jenna A Basso , MS, CCC-SLP

Speech-Language Pathologist • Dix Hills, NY

Professional Overview & Biography Verified Profile Summary

Jenna Basso, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Dix Hills, NY. Practice services are available at 762 DEER PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

762 Deer Park Rd

Dix Hills, NY 117466221

Telephone 6315494900
Associated Practice Facility / Clinic
🏢 Thales Well Pharmacy Inc Facility NPI 1649318767

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dix Hills, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Dix Hills, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 019987

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
04317855 (NY)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Marina Smith , PTA

Mechanotherapist

NPI 1083929467

Physical Therapist Assistant

NPI 1114232063

MSOTR

NPI 1114291945

Physical Therapist, Doctor of Physical Therapy

Sheryl Brodsky

Speech-Language Pathologist

NPI 1285970269
Jessica Randall , MA, CCC-SLP, TSSLD

Speech-Language Pathologist

NPI 1679068829

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence), TSSLD

Kristen True , MS, CCC-SLP

Speech-Language Pathologist

NPI 1821505785

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated October 24, 2019

Recorded as JENNA BASSO, M.S., CCC-SLP

NPI Profile Active September 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2015

Registered at 762 DEER PARK RD, DIX HILLS, NY 117466221 (Tel: 6315494900)

📍
Updated Business Mailing Address September 03, 2015

Registered at 762 DEER PARK RD, DIX HILLS, NY 117466221

👤
Provider Name / Credentials Updated September 03, 2015

Recorded as JENNA BASSO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2015

Speech-Language Pathologist (License #019987 in NY)

🟢
Initial NPI Registration & Enumeration September 03, 2015

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: 1841668183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2015
Last Update: October 24, 2019
Sole Proprietor: Yes

Mailing Address

762 Deer Park Rd

Dix Hills, NY 117466221

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.