Jennifer Mary Shagan , MS CCC-SLP
Speech-Language Pathologist β’ Brewster, NY
15 Mount Ebo Rd S
Brewster, NY 105094004
Phone: 8458789078
Location details and other listingsThis profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
This NPI Is Deactivated in NPPES
NPPES lists this NPI as deactivated as of October 15, 2026; the reason is not published. The records below are historical. They do not show whether Jennifer Shagan currently practices or holds a license; check the state medical board for current license status.
Practice Location & Contact Primary Location
15 Mount Ebo Rd S
Brewster, NY 105094004
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Speech-Language Pathologist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2010
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Enrolled in Medicare (PECOS)
Jennifer Shagan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Brewster and New York
Comparisons are not shown because NPPES lists this NPI as deactivated.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 235Z00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST
I20170412001626
NY
2961788674
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Family Nurse Practitioner
Occupational Therapist
Occupational Therapist Registered, L
Internal Medicine
Doctor of Medicine (M.D.)
Occupational Therapist
MSOTR, L
Psychiatry & Neurology - Child & Adolescent Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPPES lists this NPI as deactivated as of October 15, 2026; the reason is not published.
NPI status registered as active in NPPES database
Registered at 15 MOUNT EBO RD S, BREWSTER, NY 105094004 (Tel: 8458789078)
Registered at PO BOX 362, POUGHQUAG, NY 125700362 (Tel: 8457026159)
Recorded as JENNIFER SHAGAN, MS CCC-SLP
Speech-Language Pathologist (license number reported to NPPES: NY 020586-1)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 362
Poughquag, NY 125700362
Phone: 8457026159