Shelley M Stockner, MA, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2507 Issued in NY

Practice address

5 Kimberly Dr
East Northport, NY 11731-3305

Phone

(631) 368-4813

Fax

(631) 368-4813

NPI assigned

Jan 25, 2007

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

Other names 1

• Mrs. Shelley M Kadin 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306992383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KIMBERLY DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313305",
            "telephone_number": "631-368-4813",
            "fax_number": "631-368-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KIMBERLY DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313305",
            "telephone_number": "631-368-4813",
            "fax_number": "631-368-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKNER",
        "first_name": "SHELLEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "2507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "KADIN",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "MA, CCC, SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Staples, RPA-C
• Karen Stark-Gambino, SLP
• Starlight Health Supply Inc.
• Emily Marie Steneck, OTR/L
• Steven C. Desousa, PT, PC (East Northport Physical Therapy)
• Melissa Stratigos
• Strong Kids Inc
• Suffolk County Physical Therapy P C (Suffolk Physical Therapy)
• Lilyana Mary Sullivan, LMSW
• Arianna Suprina, N.P.

• Speech-Language Pathologist in East Northport, NY
• Providers in East Northport, 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 Jul 8, 2007; 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.