Mary Elizabeth E Sheridan, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Redding, CT
NPI 1093317372 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1093317372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 100 Redding Rd
Redding, CT 06896-3236 - Phone
- (203) 544-1000
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehab by Rvna LLC
Rvnahealth, Inc
Practice addresses (Care Compare)
27 Governor St
Ridgefield, CT 06877-4608
Phone (203) 438-7862
27 Governor St
Ridgefield, CT 06877-4657
Phone (203) 438-5555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240227000855 | CT | Practitioner - Qualified Speech Language Pathologist | 6305281619 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rvnahealth, Inc. | Current |
Accepting new patients | |
| Rehab by Rvna, LLC | Current |
Accepting new patients | |
| Rvnahealth, Inc. | Current |
Accepting new patients |
Locations
27 Governor St
Ridgefield, CT 06877
Phone (203) 438-5555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
100 Redding Rd
Redding, CT 06896-3236
Mailing address
680 Hope St Unit 1
Stamford, CT 06907-2624
Phone (315) 762-3228
Other providers in Redding, CT
- Leslie Rubury
- Jake Christian Sasis
- David Schoenberg
- Georgina Bates Scholl
- Nanette Rose Seligman Greene
- Anne Shields
- Smart Behavioral Health Services
- Anna Frances Sullivan
- TH Psychotherapy, LLC
- Edward Aymer Walker
All providers in Redding, CT · Speech-Language Pathologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.