Kenneth Schick, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

034804 Issued in NY

Practice address

130 Artist Lake Dr
Middle Island, NY 11953-2311

Phone

(631) 905-5853

NPI assigned

Jun 29, 2023

Sex

Male

Sole proprietor

No

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Wihd Inc

  dba Westchester Institute for Human Development

  • Clinic/Center
  • Valhalla, NY
  • NPI 1386714228
  Medicare reassignment NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1477230654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ARTIST LAKE DR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532311",
            "telephone_number": "631-905-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ARTIST LAKE DR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532311",
            "telephone_number": "631-905-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICK",
        "first_name": "KENNETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jill Santoro, M.S.
• Danielle Scafidi
• Melissa Lynn Scandiffio
• Michelle L Schaake
• Dawn Schick, LPN
• Bunnie Schiller, BCBA
• Cynthia Schneider
• Eve Ann Schoenemann, M.S.
• Thomas Schrage
• David W Schupner

• Speech-Language Pathologist in Middle Island, NY
• Providers in Middle Island, 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 Sep 23, 2024; 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.