Individual provider Active NPI

Amanda Jean Basting, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mahopac, NY
National Provider Identifier
1063995934
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004650 Issued in CT
Practice address
572 US 6
Mahopac, NY 10541
Phone
(845) 519-2295
NPI assigned
Sep 7, 2018
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220907003099 FL Practitioner - Qualified Speech Language Pathologist 4284018466 Reassigns benefits to 1 organization
I20220926003271 CT Practitioner - Qualified Speech Language Pathologist 4284018466 Reassigns benefits to 1 organization
I20230214000192 NY Practitioner - Qualified Speech Language Pathologist 4284018466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
028143NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince May 21, 2022 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Sep 1, 2022 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.

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.

Verify at the official NPI Registry.