MS. STACY SULLIVAN MA,CCC/LSP
NPI 1497065213
Speech-Language Pathologist in Centerport, NY

Q: What is Stacy Sullivan's NPI number?

The NPI number for Stacy Sullivan is 1497065213. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Q: What is Stacy Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Sullivan was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 14, 2010

235 JACKSON CRESCENT, CENTERPORT, NY 11721(631) 424-8972 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Stacy Sullivan Ma,ccc/lsp NPPES

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

MS. STACY SULLIVAN MA,CCC/LSP (NPI 1497065213) is an individual speech-language pathologist provider in Centerport, New York, licensed in New York (0065631) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1497065213

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. STACY SULLIVANCredential: MA,CCC/LSP

Location Address235 JACKSON CRESCENTCenterport, NY 11721

Mailing Address235 Jackson CresCenterport, NY 11721-1054 · (631) 424-8972

Phone(631) 424-8972

Sole ProprietorYes

Enumeration DateOctober 14, 2010

✔ NPI 1497065213 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 · 0065631

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.

235 JACKSON CRESCENT, Centerport, NY 11721

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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 Stacy Sullivan's NPI number?

The NPI number for Stacy Sullivan is 1497065213. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Stacy Sullivan located?

Stacy Sullivan practices at 235 Jackson Crescent, Centerport, NY 11721. The listed phone number is (631) 424-8972.

What is Stacy Sullivan'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 Stacy Sullivan was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.