Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacey Lyn Sheridan, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902059108

Mrs. Stacey Lyn Sheridan, MSCCC-SLP is a Qualified Speech Language Pathologist in Mount Sinai, New York. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Colorado and New York.

Years since qualifying
26
Licensed in
CO, NY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

76 Granada Cir
Mount Sinai, NY 11766-2811
Phone: (917) 887-1843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 012752-1 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X (CO)

Record details

NPI number1902059108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedOctober 31, 2008
Last updated in NPPESMarch 30, 2025
Certification dateMarch 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Mount Sinai