Amanda Lizette De Alem, M.S., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023670-1 Issued in NY

Practice address

159 E Main St
New Rochelle, NY 10801-5760

Phone

(914) 413-7390

NPI assigned

Jun 3, 2013

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech-Language Lilies, PLLC

  • Speech-Language Pathologist
  • New Rochelle, NY
  • NPI 1245982958
  NPD Authorized official

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1306283254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N COLUMBUS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521332",
            "telephone_number": "914-413-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015760",
            "telephone_number": "914-413-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ALEM",
        "first_name": "AMANDA",
        "middle_name": "LIZETTE",
        "name_prefix": "Ms.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023670",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023670-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS",
            "identifier": "023670-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSSLD-BE",
            "identifier": "833134141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamantie Davy, LMSW
• Ashok Dawani, PHARMACIST
• Dawn S Inc.
• Stephen S. Dayan, M.D.
• Adriana Carolina Daza, M.S
• Leonidez De Guzman, M.D.
• Rafael De Jesus
• Brayan De la Cruz Cabral, LMSW
• Jaciara De Souza
• Feven Henok Debele, MD

• Speech-Language Pathologist in New Rochelle, NY
• Providers in New Rochelle, 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 Nov 11, 2021; 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.