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MRS. STACEY LYN SHERIDAN MS CCC-SLP
NPI 1902059108
Speech-Language Pathologist in Mount Sinai, NY

Active since October 31, 2008
76 GRANADA CIR, MOUNT SINAI, NY 11766(917) 887-1843 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacey Lyn Sheridan Ms Ccc-slp NPPES

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

MRS. STACEY LYN SHERIDAN MS CCC-SLP (NPI 1902059108) is an individual speech-language pathologist provider in Mount Sinai, New York, licensed in New York (012752-1) and active in the NPI registry since October 2008. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1902059108
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACEY LYN SHERIDANCredential: MS CCC-SLP
Location Address76 GRANADA CIRMount Sinai, NY 11766-2811
Mailing Address76 Granada CirMount Sinai, NY 11766-2811 · (917) 887-1843
Phone(917) 887-1843
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 31, 2008
Last NPPES UpdateMarch 30, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1902059108 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 · 012752-1
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.
76 GRANADA CIR, Mount Sinai, NY 11766
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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)

Mrs. Stacey Lyn Sheridan Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385930528
PECOS Enrollment IDI20160914000870

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 Stacey Sheridan's NPI number?

The NPI number for Stacey Sheridan is 1902059108. It was assigned to this individual provider in the NPPES registry on October 31, 2008.

Where is Stacey Sheridan located?

Stacey Sheridan practices at 76 Granada Cir, Mount Sinai, NY 11766. The listed phone number is (917) 887-1843.

What is Stacey Sheridan's specialty?

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

Is Stacey Sheridan enrolled in Medicare?

Yes. Stacey Sheridan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Sheridan was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.