Mid-Island Speech Language Pathology, PLLC
NPI 1780191288 · Speech-Language Pathologist · Holbrook, NY
Mid-Island Speech Language Pathology, PLLC is a Speech-Language Pathologist organization in Holbrook, NY (NPI 1780191288).
Provider details
- NPI number
- 1780191288
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Jaclyn Havlicek, Speech Pathologist, Owner(631) 387-1926
- License
- 108418 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-05
- Last updated
- 2018-01-05
Frequently asked questions
- What is Mid-Island Speech Language Pathology, PLLC's NPI number?
- Mid-Island Speech Language Pathology, PLLC's National Provider Identifier (NPI) is 1780191288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid-Island Speech Language Pathology, PLLC?
- Mid-Island Speech Language Pathology, PLLC is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Mid-Island Speech Language Pathology, PLLC located?
- Mid-Island Speech Language Pathology, PLLC's practice location on file with NPPES is 24 Donald Street, Holbrook, NY 11741.
- What is Mid-Island Speech Language Pathology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mid-Island Speech Language Pathology, PLLC is (631) 387-1926.
- Who is the authorized official for Mid-Island Speech Language Pathology, PLLC?
- The authorized official listed on Mid-Island Speech Language Pathology, PLLC's NPPES record is Jaclyn Havlicek, Speech Pathologist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid-Island Speech Language Pathology, PLLC's NPI active?
- Yes — Mid-Island Speech Language Pathology, PLLC's NPI (1780191288) is active in the NPPES registry as of the last update on 2018-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.