Individual provider Active NPI

Roma Marisa Shickel, SLP

  • Speech-Language Pathologist
  • Clifton Park, NY
National Provider Identifier
1841708088
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
032944 Issued in NY
Practice address
515 Moe Rd
Clifton Park, NY 12065-3821
Phone
(518) 280-4294
NPI assigned
Jan 22, 2018
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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 032944 NY Primary

Addresses

Primary practice location

515 Moe Rd
Clifton Park, NY 12065-3821

Mailing address

44 Fieldstone Dr
Gansevoort, NY 12831-2512
Phone (518) 727-8546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
032944NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Therapy Group PT OT SLP and Psychology Services PLLC PastSince May 1, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1841708088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FIELDSTONE DR",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128312512",
            "telephone_number": "518-727-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653821",
            "telephone_number": "518-280-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHICKEL",
        "first_name": "ROMA MARISA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.