Active NPI
Nicole Conlin
- Speech-Language Pathologist
- Mamaroneck, NY
National Provider Identifier
1548748205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 006493
- Practice address
- 845 Palmer Ave
Mamaroneck, NY 10543-2406 - Phone
- (914) 698-6005
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 006493 | CT | Primary |
Addresses
Primary practice location
845 Palmer Ave
Mamaroneck, NY 10543-2406
Mailing address
11 Dean St Apt 1
Stamford, CT 06902-6204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251218000408 | CT | Practitioner - Qualified Speech Language Pathologist | 9133545866 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Ledge Rd
Darien, CT 06820-4439
Phone (203) 533-8161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024223 | NY | MD | Clinical Psychologist |
| 6493 | CT | MD | Occupational Therapist |
| 006493 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Reliant Senior Living LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5800 Granite Pkwy
Ste 325
Plano, TX 75024
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.
-
- Physical Therapist
- Hamden, CT
- NPI 1427930908
CT, Speech-Language Pathologist
-
- Physical Therapist
- Hopedale, MA
- NPI 1871457994
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1548748205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DEAN ST APT 1",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069026204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 PALMER AVE",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105432406",
"telephone_number": "914-698-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLIN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "006493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.