KENNETH SCHICK CCC-SLP
NPI 1477230654
Speech-Language Pathologist in Middle Island, NY

Active since June 29, 2023
130 ARTIST LAKE DR, MIDDLE ISLAND, NY 11953(631) 905-5853 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kenneth Schick Ccc-slp NPPES

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

KENNETH SCHICK CCC-SLP (NPI 1477230654) is an individual speech-language pathologist provider in Middle Island, New York, licensed in New York (034804) and active in the NPI registry since June 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1477230654
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameKENNETH SCHICKCredential: CCC-SLP
Location Address130 ARTIST LAKE DRMiddle Island, NY 11953-2311
Mailing Address130 Artist Lake DrMiddle Island, NY 11953-2311 · (631) 905-5853
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 29, 2023
Last NPPES UpdateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1477230654 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 · 034804
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.
130 ARTIST LAKE DR, Middle Island, NY 11953

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Schick Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022506211
PECOS Enrollment IDI20251021000772

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Schick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
20 HOSPITAL OVAL W, BUSINESS OFFICE- ROOM #322
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 37 clinicians in this Medicare group

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 Kenneth Schick's NPI number?

The NPI number for Kenneth Schick is 1477230654. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Kenneth Schick located?

Kenneth Schick practices at 130 Artist Lake Dr, Middle Island, NY 11953. The listed phone number is (631) 905-5853.

What is Kenneth Schick's specialty?

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

Is Kenneth Schick enrolled in Medicare?

Yes. Kenneth Schick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Schick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Schick reassigns Medicare benefits to Wihd Inc (Valhalla, 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 Kenneth Schick'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 Kenneth Schick was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.