Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578006052 Individual Practitioner Female Practitioner

Jaclyn Marie Watson , MA CCC-SLP

Speech-Language Pathologist • Fresh Meadows, NY

Professional Overview & Biography Verified Profile Summary

Jaclyn Watson, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fresh Meadows, NY. Practice services are available at 5637 188TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5637 188th St

Fresh Meadows, NY 113652230

Telephone 7183574650

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fresh Meadows, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
88 Specialists

Practicing in Fresh Meadows, 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 023617

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Leor Samuels

Speech-Language Pathologist

NPI 1023551637
Vernica Shrouder , RN

Registered Nurse

NPI 1396006912

Registered Nurse

Michelle Knowles , RN

Registered Nurse

NPI 1437416070

Registered Nurse

Karen Rivelli-Daniello

Speech-Language Pathologist

NPI 1487198396
Carol Di Marco

Speech-Language Pathologist

NPI 1497299713
Valerie Ukwubiwe , SLP

Speech-Language Pathologist

NPI 1508097304

Speech-Language Pathologist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2016

Registered at 5637 188TH ST, FRESH MEADOWS, NY 113652230 (Tel: 7183574650)

📍
Updated Business Mailing Address December 01, 2016

Registered at 1980 CROYDON DR, MERRICK, NY 115662302 (Tel: 5166593098)

👤
Provider Name / Credentials Updated December 01, 2016

Recorded as JACLYN WATSON, M.A. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2016

Speech-Language Pathologist (License #023617 in NY)

🟢
Initial NPI Registration & Enumeration December 01, 2016

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: 1578006052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2016
Last Update: December 01, 2016
Sole Proprietor: Yes

Mailing Address

1980 Croydon Dr

Merrick, NY 115662302

Phone: 5166593098

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.