Amanda E Sitren, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

77296 Issued in MA

Practice address

25 Pinewood Rd
Wellesley, MA 02482-4505

Phone

(732) 512-7245

NPI assigned

Jan 3, 2020

Last updated

Jan 3, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1205475530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SUMNER ST APT 105",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021282192",
            "telephone_number": "732-512-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PINEWOOD RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024824505",
            "telephone_number": "732-512-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITREN",
        "first_name": "AMANDA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harriet F Simons, PH. D., LICSW
• Vicky Kwan Sin, RPH
• William Davis Singr, M.D.
• Lilith G. C. Sinha, PSYD, LICSW
• Kenneth L. Sipe, LICSW
• Susan Sklover, PH.D.
• Sara Elizabeth Skonieczny, LICSW
• SL MD Urology LLC
• Jacob William Slater, PSY.D
• Pamela Maureen Slater, PH.D.

• Speech-Language Pathologist in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.