Roseann Connelly, MA TSHH

Primary specialty

SpecialistTaxonomy code 174400000X

License

657266 Issued in NY

Practice address

666 Shore Rd Apt 4J
Long Beach, NY 11561-4616

Phone

(516) 260-3436

Fax

(516) 992-0878

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Roseann Doherty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1023372091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 SHORE RD APT 4J",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614616",
            "telephone_number": "516-260-3436",
            "fax_number": "516-992-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 SHORE RD APT 4J",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614616",
            "telephone_number": "516-260-3436",
            "fax_number": "516-992-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "ROSEANN",
        "name_prefix": "Ms.",
        "credential": "MA TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NY",
            "license": "1701205",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "657266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEANN",
            "last_name": "DOHERTY",
            "credential": "MA, TSHH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel Collazo
• Maryann M Colucci, M.S., CCC-SP
• Danielle M Comiskey, LCSW
• Kenneth C. Coniglio, PHD
• Jacqueline Connell, MS CCC-SLP
• Gizelle Conroy, M.S.ED.
• Consultation Services Inc
• Sherrie Cooper
• Dina Sverra Cordero, PMHNP
• Lisa Cori, M.S.

• Specialist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.