Shani Kelly, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

035537 Issued in NY

Practice address

15 Skyline Dr
Hawthorne, NY 10532-2152

Phone

(914) 347-5990

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Alexa Reynoso-Jimenez

  • Specialist
  • Hawthorne, NY
  • NPI 1598631798
  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1871364075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WAVERLY RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836720",
            "telephone_number": "914-336-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SKYLINE DR",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322152",
            "telephone_number": "914-347-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHANI",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "035537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashutosh Kaul, MD
• Miho Kawanishi, LCSW
• Richard H Kay, MD
• Trisha Nicole Keeling, M.S. OT/L
• Eileen Kelly
• Julia Keltz, MD
• Sarah Kern
• Martina Lucille Kerrison, LPN
• Dennis Julian Keselman, MD
• Melissa Ann Kessler, MS RD CDN

• Speech-Language Pathologist in Hawthorne, NY
• Providers in Hawthorne, 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 Jun 23, 2025; 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.