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Kathleen Mary Stack

Speech-Language Pathologist β€’ Ridgewood, NY

Active NPI 1013148915 Individual Practitioner Female Practitioner
Practice location in NPPES

1666 Hancock St
Ridgewood, NY 11385

Call 7184567588 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1666 Hancock St

Ridgewood, NY 11385

Telephone 7184567588
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Rockaway Beach, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ridgewood and New York

48 active clinicians are listed under Speech-Language Pathologist with a practice address in Ridgewood, NY (24,885 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ridgewood

0% of these 48 clinicians have the CMS telehealth indicator.

0% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NY 019277-1

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Secondary Practice Locations

135 Beach 92nd St

Rockaway Beach, NY 116931509

Phone: 7186340070

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 21, 2018

Registered at 1666 HANCOCK ST, RIDGEWOOD, NY 11385 (Tel: 7184567588)

πŸ‘€
Provider Name / Credentials Updated August 21, 2018

Recorded as KATHLEEN STACK

βœ…
NPI Profile Active July 27, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 27, 2009

Registered at 135 BEACH 92ND ST, ROCKAWAY BEACH, NY 116931509 (Tel: 7186340070)

πŸ“
Business Mailing Address (Initial Record) July 27, 2009

Registered at 135 BEACH 92ND ST, ROCKAWAY BEACH, NY 116931509 (Tel: 7186340070)

πŸ‘€
Provider Name / Credentials (Initial Record) July 27, 2009

Recorded as KATHLEEN MAGUIRE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2009

Speech-Language Pathologist (license number reported to NPPES: NY 019277-1)

🟒
Initial NPI Registration & Enumeration July 27, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013148915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2009
Last Update: August 21, 2018
Sole Proprietor: Yes

Mailing Address

135 Beach 92nd St

Rockaway Beach, NY 116931509

Phone: 1785471039

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.