Andrea Denee Manigault, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

007454 Issued in NY

Practice address

1607 Route 300
Suite 102
Newburgh, NY 12550-1738

Phone

(845) 564-9853

NPI assigned

Dec 4, 2006

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)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Nysarc Inc Westchester County Chapter

  • Community/Behavioral Health Agency
  • Hawthorne, NY
  • NPI 1780898643
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235297102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 QUAIL CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981967",
            "telephone_number": "914-243-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 ROUTE 300",
            "address_2": "SUITE 102",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501738",
            "telephone_number": "845-564-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIGAULT",
        "first_name": "ANDREA",
        "middle_name": "DENEE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra S Mamis, RPA-C
• Veronica Manchanda, M.D.
• Dennis Daniel Mancusi, CASAC
• Lauren Michelle Mandel, RN BSN
• Marsha E Mandel, LMHC
• Frank L Maniscalco
• Ashley Dana Mann, LCSW
• Christine E Manngard, LMSW
• Prasad Manoharan, MD
• Alexis Nicole Manz, PA

• Speech-Language Pathologist in Newburgh, NY
• Providers in Newburgh, 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 Jul 8, 2007; 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.