Mid-Island Speech Language Pathology, PLLC
NPI 1780191288ActiveOrganization· Speech-Language Pathologist· Holbrook, NY
Speech-Language Pathologist in Holbrook, New York, registered in NPPES in January 2018. The authorized official on file is Jaclyn Havlicek, MA, CCC-SLP, Speech Pathologist, Owner.
Overview
| NPI | 1780191288 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2018 |
| Last updated in NPPES | Jan 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 108418 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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