Amy E Sblendorio, MED, CAGS, BCBA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002417-1 Issued in NY

Practice address

54 Darnell LN
Staten Island, NY 10309-1951

Phone

(134) 786-0169

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amy E Permenter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1124335575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 DARNELL LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091951",
            "telephone_number": "134-786-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 DARNELL LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091951",
            "telephone_number": "134-786-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SBLENDORIO",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MED, CAGS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002417-1",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-096406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PERMENTER",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "MED, CAGS, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antony Sawires, PA
• Roseline Olawunmi Sawyerr, RN
• Jacqueline Sax, PT
• Nazia Sayed, D.P.T
• Henry Sayre, PSYD
• Frank A. Sblendorio
• Matthew Thomas Scaffa, D.D.S.
• Danielle Nicole Scafidi
• Frank Scafuri III, D.O.
• Jacqueline Scafuri, M.A. CCC-SLP

• Mental Health Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.