Keitha Stevens, MA SLP/TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018798 Issued in NY

Practice address

23 Cross Rd
Goshen, NY 10924-6301

Phone

(646) 897-6963

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete SLP, OT, PT & Psychology Services, PLLC

  • Contractor
  • Bronx, NY
  • NPI 1437616026
  Medicare reassignment NPD Authorized official
• Caring SLP, Psychology, OT & Nutrition Services, PLLC

  • Contractor
  • Newburgh, NY
  • NPI 1699226217
  Medicare reassignment NPD
• Essential OT, PT, SLP & Psychology Services, PLLC

  • Contractor
  • Baldwin, NY
  • NPI 1093226805
  Medicare reassignment NPD
• Welllife Network Inc.,

  • Clinic/Center
  • Huntington, NY
  • NPI 1932125721
  Medicare reassignment NPD
• Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC

  • Occupational Therapist
  • Newburgh, NY
  • NPI 1619622461
  Medicare reassignment
• Welllife Network Inc

  • Case Management Agency
  • Elmont, NY
  • NPI 1508012816
  NPD
• Welllife Network Inc.

  • Clinic/Center
  • Great Neck, NY
  • NPI 1477864866
  NPD
• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906
  NPD (past)
• Essential Therapy Services of NJ

  • Occupational Therapist
  • Rockaway, NJ
  • NPI 1730852070

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1164665196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROSS RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246301",
            "telephone_number": "203-809-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROSS RD",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246301",
            "telephone_number": "646-897-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KEITHA",
        "name_prefix": "Mrs.",
        "credential": "MA SLP/TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Angela Stabner, B.S.
• Caitlin Stanton, CCC-SLP
• Mary E Stark, RN
• Victoria Alexandrea Starr
• Erika Stazzone, MS, CCC-SLP
• Sarah Nicole Stevens
• Nicole Stratton, LCSW
• Anna Kathryn Streeter
• Stress Reduction and Psychological Services, PC
• Striving to Restore, Psychotherapy Services LCSW, PLLC

• Speech-Language Pathologist in Goshen, NY
• Providers in Goshen, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.