Individual provider Active NPI

Laurel Skultety

  • Speech-Language Pathologist
  • Schenectady, NY
National Provider Identifier
1427204403
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0124371 Issued in NY
Practice address
214 State St
Schenectady, NY 12305-1806
Phone
(518) 372-8178
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0124371 NY Primary

Addresses

Primary practice location

214 State St
Schenectady, NY 12305-1806

Mailing address

18 Marvin Ave
Delmar, NY 12054-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131219000159 NY Practitioner - Qualified Speech Language Pathologist 4688801657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc Montgomery County Chapter LibertyGroup PAC ID 1557651411, 12 clinicians

Practice addresses (Care Compare)

43 Liberty Dr
Amsterdam, NY 12010-5635

47 Liberty Dr
Amsterdam, NY 12010-5635
Phone (518) 842-5080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0124371NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Montgomery County Chapter Liberty CurrentSince May 1, 2024 Accepting new patients
New Dimensions in Living Inc Past Accepting new patients

Locations

43 Liberty Dr
Amsterdam, NY 12010
Phone (518) 842-5080

47 Liberty Dr
Amsterdam, NY 12010
Phone (518) 840-5080

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1427204403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MARVIN AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120545100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051806",
            "telephone_number": "518-372-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKULTETY",
        "first_name": "LAUREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0124371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.