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MR. TIMOTHY LEONARD HALLER SLP
NPI 1285703041
Speech-Language Pathologist in Ravena, NY

Active since November 07, 2006
47 BLAISDELL AVE, RAVENA, NY 12143(518) 334-9546 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2021, Mar 26, 2018 (2 updates tracked since 2018).

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

NPI1285703041
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. TIMOTHY LEONARD HALLERCredential: SLP
Location Address47 BLAISDELL AVERavena, NY 12143
Mailing AddressPo Box 761Coeymans, NY 12045-0761 · (518) 334-9546 · Fax (518) 756-9546
Phone(518) 334-9546
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 7, 2006
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1285703041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 005527
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.
47 BLAISDELL AVE, Ravena, NY 12143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Leonard Haller Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406118447
PECOS Enrollment IDI20180403000315

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.

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 4 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.