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LYDIA HALLIGAN
NPI 1740973080
Speech-Language Pathologist in Otsego, MN

Active since June 01, 2023
15590 90TH ST NE, OTSEGO, MN 55330(763) 755-4275 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2026, Jun 1, 2023 (2 updates tracked since 2023).

About Lydia Halligan NPPES

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

LYDIA HALLIGAN (NPI 1740973080) is an individual speech-language pathologist provider in Otsego, Minnesota and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1740973080
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLYDIA HALLIGAN
Location Address15590 90TH ST NEOtsego, MN 55330-9452
Mailing Address1311 Mamaroneck Ave Ste 140White Plains, NY 10605-5224
Phone(763) 755-4275
Sole ProprietorNo
Enumeration DateJune 1, 2023
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1740973080 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
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.
15590 90TH ST NE, Otsego, MN 55330
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Halligan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Family Speech & Therapy Services, LLC
13 mi
Speech-Language Pathologist
1891 STATION PKWY NW
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 112 clinicians in this Medicare group
NPI 1235285966 (763) 755-4275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA JANE YOUNG
Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
MELANIE DEUTSCH OTR
Occupational Therapist (Pediatrics)
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
ERICA MACALUS COTA/L
Occupational Therapy Assistant
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 308-3869
ASHLEY SPRAIN
Physical Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
ALI KARELS
Speech-Language Pathologist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 308-3869
DR. NICOLLET SUE YOUNG OTD
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
DEBORAH GABEL
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275
EMILY A BOUGHNER MS, OTR/L
Occupational Therapist
15590 90TH ST NE
OTSEGO, MN 55330
Sherburne County (763) 755-4275

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 Lydia Halligan's NPI number?

The NPI number for Lydia Halligan is 1740973080. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Lydia Halligan located?

Lydia Halligan practices at 15590 90th St NE, Otsego, MN 55330. The listed phone number is (763) 755-4275.

What is Lydia Halligan's specialty?

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

Is Lydia Halligan enrolled in Medicare?

Yes. Lydia Halligan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lydia Halligan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Halligan reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, MN). 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 Lydia Halligan'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 Lydia Halligan was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.