Amanda Guarracina, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

022262 Issued in NY

Practice address

400 Doansburg Rd
Brewster, NY 10509-5902

Phone

(845) 279-2995

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1205187986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOANSBURG RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOANSBURG RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095902",
            "telephone_number": "845-279-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARRACINA",
        "first_name": "AMANDA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofiya Greenberg, M.D.
• Jolene Marie Griggs, MHC
• Patrick J. Grippo, D.P.M.
• Johanna Groepl, L.M.F.T.
• Kristie Guarino, FNP
• Michele Gunnison, RD,CDN
• David Paul Gureasko Moore, PHD
• Rachel Ann Gutterman-Gerstman, M. A.
• Jeffrey L Halaas, MD
• Lindsay Amanda Hammond, MSED

• Speech-Language Pathologist in Brewster, NY
• Providers in Brewster, 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 Sep 21, 2012; 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.