Jessica Nichole Heller, MA, CCC-SLP, TSLD
Speech-Language Pathologist, in Hauppauge, NY. Individual provider (NPI-1).
Details
- NPI
- 1275199895
- Entity type
- Individual (NPI-1)
- Name
- Miss Jessica Nichole Heller
- Credential
- MA, CCC-SLP, TSLD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2019
- Certification date
- Mar 15, 2021
- Last updated
- Oct 19, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 030099 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
495 Hoffman Ln Ste 3Hauppauge, NY 11788-3102
Phone 631-650-6545
Mailing address
3 Wild RunSmithtown, NY 11787-7522
Phone 631-487-1505
Other practice locations
Wading River, NY 11792-2015
Phone 631-325-7755 · Fax 631-886-1419
Islip Terrace, NY 11752
Phone 631-650-6545
Wading River, NY 11792-2015
Phone 631-325-7755 · Fax 631-886-1419
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 61 Speech-Language Pathologist providers in Hauppauge · All 1,316 providers in Hauppauge
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