Active NPI
Amanda Jean Basting, M.S. CCC-SLP
- Speech-Language Pathologist
- Mahopac, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004650
- Practice address
- 572 US 6
Mahopac, NY 10541 - Phone
- (845) 519-2295
- NPI assigned
- Sep 7, 2018
- Last updated
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004650 | CT | Primary |
Addresses
Primary practice location
572 US 6
Mahopac, NY 10541
Mailing address
103 Route 39 S
Sherman, CT 06784-2317
Phone (845) 797-8998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CT, NY
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028143 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
500 W Putnam Ave
Ste 400
Greenwich, CT 06830
Phone (203) 532-9880
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1063995934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 ROUTE 39 S",
"city": "SHERMAN",
"state": "CT",
"postal_code": "067842317",
"telephone_number": "845-797-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 US 6",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "10541",
"telephone_number": "845-519-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTING",
"first_name": "AMANDA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "004650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.