MR. TIMOTHY LEONARD HALLER SLP
NPI 1285703041
Speech-Language Pathologist in Ravena, NY
About Mr. Timothy Leonard Haller Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY LEONARD HALLER SLP (NPI 1285703041) is an individual speech-language pathologist provider in Ravena, New York, licensed in New York (005527) and active in the NPI registry since November 2006. He is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Timothy Leonard Haller Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Haller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coeymans, NY 12045
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Timothy Haller's NPI number?
The NPI number for Timothy Haller is 1285703041. It was assigned to this individual provider in the NPPES registry on November 7, 2006.
Where is Timothy Haller located?
Timothy Haller practices at 47 Blaisdell Ave, Ravena, NY 12143. The listed phone number is (518) 334-9546.
What is Timothy Haller's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Timothy Haller enrolled in Medicare?
Yes. Timothy Haller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Haller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Haller reassigns Medicare benefits to Open Door Speech Therapy Services, LLC (Coeymans, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Haller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Haller was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Timothy Leonard Haller, SLP · NPI 1285703041
Speech-Language Pathologist provider in Ravena, New York. Individual provider, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1285703041 (Entity type: Individual)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 005527 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 47 BLAISDELL AVE, Ravena, NY 12143
- **Phone:** (518) 334-9546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Open Door Speech Therapy Services, LLC (NPI 1841801529, Coeymans, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** October 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285703041) · Data from the CMS NPPES public registry.