MARY ELIZABETH E SHERIDAN (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1093317372

MARY ELIZABETH E SHERIDAN (MS, CCC-SLP) is a healthcare provider. based in Stamford, Connecticut. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS, CCC-SLP. The NPI Number for MARY ELIZABETH E SHERIDAN (MS, CCC-SLP) is 1093317372

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH E SHERIDAN (MS, CCC-SLP)
NPI
1093317372
Phone
(315) 762-3228
Address
680 HOPE ST UNIT 1
Enumeration Date
12 November 2020
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034385555
Graduation Year
2019 (7 years ago)
PAC ID
6305281619
Group Practice PAC ID
7416990569
Professional Enrollment ID
I20240227000855
Address ID
CT068774657RI27XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

68 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in CT

Provider Addresses for MARY ELIZABETH E SHERIDAN (MS, CCC-SLP)

  • 680 HOPE ST UNIT 1

    STAMFORD, CT 069072624

    Phone: (315) 762-3228

    Type: Mailing

  • 100 REDDING RD

    REDDING, CT 068963236

    Phone: (203) 544-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240227000855IQualified Speech Language PathologistCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416990569View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Nurse PractitionerCT
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT

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Frequently asked questions

How do I look up MARY ELIZABETH E SHERIDAN (MS, CCC-SLP) by NPI?
Use NPI 1093317372 when you need to reference MARY ELIZABETH E SHERIDAN (MS, CCC-SLP) in forms, claims, or directories.
Is MARY ELIZABETH E SHERIDAN (MS, CCC-SLP) active in the national directory?
MARY ELIZABETH E SHERIDAN (MS, CCC-SLP)'s public NPI profile is in an active state.
Can you summarize MARY ELIZABETH E SHERIDAN (MS, CCC-SLP)'s specialty in plain language?
Clinically, the directory lists MARY ELIZABETH E SHERIDAN (MS, CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY ELIZABETH E SHERIDAN (MS, CCC-SLP)?
The page summarizes Stamford, Connecticut for MARY ELIZABETH E SHERIDAN (MS, CCC-SLP); expand the address list for detail.
What if Stamford, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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