KRISTIN NICOLE O'CONNELL (NPI# 1033731625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033731625 |
| Entity Type | Individual |
| Full Name | KRISTIN NICOLE O'CONNELL |
| Practice Address |
572 Route 6 Ste 102 Mahopac NY 10541-4787 |
| Mailing Address |
681 Garth Ct Yorktown Heights NY 10598-3110 |
| Practice Telephone | 8455192297 |
| Mailing Telephone | 9148606069 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
572 ROUTE 6 STE 102 |
| City | MAHOPAC |
| State | NY |
| Zip Code | 10541-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954154 | Marisa Portanova | Speech-Language Pathologist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2018-05-31 |
| 1033717517 | Paige Marie Eby | Speech-Language Pathologist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2020-10-15 |
| 1487202586 | Francesca Bastone | Occupational Therapist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2019-09-01 |
| 1932757572 | Brittany Morrissey | Speech-Language Pathologist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2019-08-27 |
| 1265080899 | Rebecca Michele Jaffe | Speech-Language Pathologist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2019-08-27 |
| 1417504044 | Danielle Moylan | Specialist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2019-08-19 |
| 1114408564 | Jessica Ann Mazzotta | Speech-Language Pathologist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216539 | Erin Grace Ricciardi | Speech-Language Pathologist | 572 Us-6, Mahopac, NY 10541 | 2020-05-15 |
| 1053963264 | Jaleesa Lucas | Occupational Therapy Assistant | 530 Us-6, Mahopac, NY 10541 | 2019-07-09 |
| 1437717535 | Michelle Gervasi | Registered Nurse | 182 Bullethole Rd, Mahopac, NY 10541 | 2019-06-03 |
| 1952968448 | Landman General and Implant Dentistry, Pllc | Clinic/Center | Landman Dentistry By The Lake Pllc, 21 Clark Pl, Mahopac, NY 10541 | 2019-05-21 |
| 1063995934 | Amanda Jean Basting | Speech-Language Pathologist | 572 Us 6, Mahopac, NY 10541 | 2018-09-07 |
| 1669980801 | Kelly Marie Banker | Early Intervention Provider Agency | 120 Vista Terrace S., Mahopac, NY 10541 | 2018-01-22 |
| 1154831485 | Sheila A Samuels | Registered Nurse | 214 Willow Drive, Mahopac, NY 10541 | 2017-09-29 |
| 1215476031 | Rachek Glock | Pharmacist | 100 East Lake Blvd, Mahopac, NY 10541 | 2017-02-13 |
| 1831646223 | Catherine Westcott | Specialist | 23 Stuart Road, Mahopac, NY 10541 | 2016-09-02 |
| 1871925263 | Mansi Upadhyaya | Pharmacist | 100 East Lake Boulevard, Mahopac, NY 10541 | 2013-08-07 |
| Find all providers in zip 10541 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216539 | Erin Grace Ricciardi | Speech-Language Pathologist | 572 Us-6, Mahopac, NY 10541 | 2020-05-15 |
| 1639633522 | Chelsea Leigh Tobias | Speech-Language Pathologist | 16 Ridge Ln, Mahopac, NY 10541-1415 | 2019-01-25 |
| 1063995934 | Amanda Jean Basting | Speech-Language Pathologist | 572 Us 6, Mahopac, NY 10541 | 2018-09-07 |
| 1568954154 | Marisa Portanova | Speech-Language Pathologist | 572 Route 6 Ste 102, Mahopac, NY 10541-4787 | 2018-05-31 |
| 1881191237 | Bruna Duran | Speech-Language Pathologist | 268 Route 6n Apt 2, Mahopac, NY 10541-4796 | 2018-04-11 |
| 1326582826 | Lorena Diaz | Speech-Language Pathologist | 210 Austin Rd, Mahopac, NY 10541-4807 | 2016-12-19 |
| 1134542442 | Cristin Gloria Deagan | Speech-Language Pathologist | 160 Carey St, Mahopac, NY 10541-1945 | 2014-01-23 |
| 1750654125 | Lidia Whitted | Speech-Language Pathologist | 107 Baldwin Place Rd, Mahopac, NY 10541-2212 | 2012-02-16 |
| 1285903252 | Perin G. Schneider | Speech-Language Pathologist | 11 Rosemarie Ln, Mahopac, NY 10541-2932 | 2011-12-21 |
| 1083944755 | Iris B Gross-gorodess | Speech-Language Pathologist | 17 Center Rd, Mahopac, NY 10541-3842 | 2009-12-31 |
| Find all providers in MAHOPAC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.