Kelsey Keryn Ruiz
NPI 1639736911ActiveIndividual· Speech-Language Pathologist· Mahopac, NY
Speech-Language Pathologist with My Medical PC and 1 other group, practicing in Mahopac, New York. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1639736911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 22, 2019 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NY) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- My Medical PCBrentwood, NY · 94 clinicians
- Peyman Younesi MD PLLCPort Jefferson Station, NY · 92 clinicians
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All 64 speech-language pathologists in Mahopac · All speech-language pathologists in New York