MRS. JACQUELINE NICOLE MORTENSON MA CCC-SLP
NPI 1295214245
Speech-Language Pathologist in East Setauket, NY

Active since August 10, 2018
14 RESEARCH WAY, EAST SETAUKET, NY 11733(631) 331-6400(631) 331-6865 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2019, Oct 17, 2019, Aug 10, 2018 (3 updates tracked since 2018).

About Mrs. Jacqueline Nicole Mortenson Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE NICOLE MORTENSON MA CCC-SLP (NPI 1295214245) is an individual speech-language pathologist provider in East Setauket, New York, licensed in New York (029121) and active in the NPI registry since August 2018. She maintains a secondary practice location in Smithtown.

NPPES Registry Identity

NPI1295214245
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JACQUELINE NICOLE MORTENSONCredential: MA CCC-SLP
Location Address14 RESEARCH WAYEast Setauket, NY 11733-3453
Mailing Address14 Research WayEast Setauket, NY 11733-3453 · (631) 331-6400 · Fax (631) 331-6865
Fax(631) 331-6865
Sole ProprietorNo
Enumeration DateAugust 10, 2018
Last NPPES UpdateNovember 19, 20193 updates tracked since enumeration
NPI 1295214245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in NY · 029121
Definition

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.

14 RESEARCH WAY, East Setauket, NY 11733

Secondary Practice Location 1

Location 1222 E Middle Country RdSmithtown, NY 11787-2871 · Phone (631) 525-7514

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
14 RESEARCH WAY
EAST SETAUKET, NY 11733
Occupational Therapist
14 RESEARCH WAY
EAST SETAUKET, NY 11733
Specialist
14 RESEARCH WAY
EAST SETAUKET, NY 11733
Speech-Language Pathologist
14 RESEARCH WAY
EAST SETAUKET, NY 11733
Specialist
14 RESEARCH WAY
EAST SETAUKET, NY 11733
Specialist
14 RESEARCH WAY
EAST SETAUKET, NY 11733
Speech-Language Pathologist
14 RESEARCH WAY
EAST SETAUKET, NY 11733
Physical Therapist (Pediatrics)
14 RESEARCH WAY
E SETAUKET, NY 11733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Mortenson's NPI number?

The NPI number for Jacqueline Mortenson is 1295214245. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Jacqueline Mortenson located?

Jacqueline Mortenson practices at 14 Research Way, East Setauket, NY 11733. The listed phone number is (631) 331-6400.

What is Jacqueline Mortenson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Mortenson was last updated on November 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.