Tara Connell, MS/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58 015658-1 Issued in NY

Practice address

1997 Route 17M Ste 9
Goshen, NY 10924-5233

Phone

(845) 294-4787

NPI assigned

Dec 27, 2008

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Communication Station, LLP.

  • Speech-Language Pathologist
  • Goshen, NY
  • NPI 1467976035
  NPD (past) Authorized official
• Teshonnell Inc.

  dba Communication Station

  • Early Intervention Provider Agency
  • Goshen, NY
  • NPI 1457901050
  NPD (past) Authorized official

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497991277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 ROUTE 17M STE 9",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 ROUTE 17M STE 9",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109245233",
            "telephone_number": "845-294-4787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Main St",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242124",
            "country_code": "US",
            "telephone_number": "845-551-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "TARA",
        "credential": "MS/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58 015658-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Competello, PTA
• Katherine Olaya Compitus, LCSW
• Rebecca Conger-Glaser
• Laurie Ann Conklin
• Mia Conley
• Louise Contin, LCSW
• Ann M Conway, MOTR/L
• Karen Corr, PHARM.D.
• Maureen Corrigan
• Kelsey Elizabeth Cosgrove

• 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 Mar 17, 2018; 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.