Tara Ann Skehan, M.S., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

031289 Issued in NY

Practice address

1428 5TH Ave
Bay Shore, NY 11706-4147

Phone

(631) 665-1900

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Acld Kramer Learning Center

  • Developmental Disabilities Clinic/Center
  • Bay Shore, NY
  • NPI 1942565015
  NPD (past)
• Adults and Children With Learning and Developmental Disabilites, Inc.

  • Developmental Disabilities Clinic/Center
  • Bethpage, NY
  • NPI 1265674303
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1447915541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YUMA LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302639",
            "telephone_number": "631-258-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064147",
            "telephone_number": "631-665-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEHAN",
        "first_name": "TARA",
        "middle_name": "ANN",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "031289",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Enterclaims",
            "affiliation": "N",
            "endpointDescription": "billing software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "frontline IEP",
            "address_1": "1428 5th Ave",
            "city": "Bay Shore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117064147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Simply You Speech Therapy, PLLC
• Lorin Singh, PSYD
• Tamaiiko Singleton, LMHC
• Tracy A. Sirc, M.S.
• Cheryl Skaggs, RN
• Gerene Olivia Skinner, LCSW
• Robert Alex Skrokov, M.D.
• Joseph Michael Skrzypek, PT, DPT, ATC, CSCS
• Argirios Skulikidis, MD
• Pantelis Skulikidis, FNP

• Speech-Language Pathologist in Bay Shore, NY
• Providers in Bay Shore, 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 Nov 3, 2021; 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.