Amanda Paige Deck, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0267381 Issued in NY

Practice address

213 Hallock Road
Ste 6
Stony Brook, NY 11790-3000

Phone

(631) 689-6858

NPI assigned

Sep 7, 2017

Last updated

Mar 13, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Li Speech Pathology &Swallowing Disorders PC

  • Speech-Language Pathologist
  • East Yaphank, NY
  • NPI 1851694483
  NPD (past)
• Mid Suffolk Speech Pathology & Swallowing Disorder Services of L.I., P

  • Speech-Language Pathologist
  • Commack, NY
  • NPI 1437832920
  NPD (past)
• Speech Pathology & Swallowing Disorder Services of Nassau, P.C.

  • Speech-Language Pathologist
  • Wantagh, NY
  • NPI 1417630914
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1063930378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 8TH AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HALLOCK ROAD",
            "address_2": "STE 6",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-689-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0267381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Austin Deassis, MD
• Sara Deboer
• Angela Debrodt, MS, RN, AGNP-C
• Bernadette C. Decarlo, AGPCNP-BC
• Brianne Decarlo, PNP
• Joseph Decristofaro, M.D.
• Emily Grace Deehan
• Thomas Joseph Degnan, MD
• Doyle Norman Degraw, LIMITED LMHC
• Michele L Degraw, NP

• Speech-Language Pathologist in Stony Brook, NY
• Providers in Stony Brook, 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 Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.