Jennifer Mary Shagan, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020586-1 Issued in NY

Practice address

15 Mount Ebo Rd S
Brewster, NY 10509-4004

Phone

(845) 878-9078

Fax

(845) 278-6984

NPI assigned

Nov 15, 2010

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Tarrytown, NY
  • NPI 1285775825
  NPD

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1972804482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125700362",
            "telephone_number": "845-702-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOUNT EBO RD S",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094004",
            "telephone_number": "845-878-9078",
            "fax_number": "845-278-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGAN",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020586-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Semler, R.N.
• Brooke Senger
• Megan Elizabeth Serencsics, DNP, CNM, RN
• Lisa Mary Serlin, O.T.R.
• Amanda Traci Serra
• Jennifer Mary Shannon, RN
• Tony Shenderovich
• Kathleen Ann Shepherd
• Antonio Sica, PHARM.D.
• Kerri L Sica, PHARM.D.

• Speech-Language Pathologist in Brewster, NY
• Providers in Brewster, 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 Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.