Individual provider Active NPI

Amy Souky, MS, CCC-SLP

  • Speech-Language Pathologist
  • Niskayuna, NY
National Provider Identifier
1306484001
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
905 Heather LN
Niskayuna, NY 12309-5540
Phone
(518) 424-3404
NPI assigned
Dec 13, 2019
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

905 Heather LN
Niskayuna, NY 12309-5540

Mailing address

905 Heather LN
Niskayuna, NY 12309-5540
Phone (518) 424-3404

Other practice location 1

18 Computer Dr E Ste 105
Albany, NY 12205-1290
Phone (518) 424-3404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301001037 NY Practitioner - Qualified Speech Language Pathologist 6002251980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Computer Dr W
Suite 110
Albany, NY 12205-1622
Phone (516) 818-0053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008567NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Speech & Swallowing Services PLLC Speech-Language Pathologist CurrentSince May 31, 2026 Accepting new patients
Speech & Swallowing Solutions of the Capital Region LLC Speech-Language Pathologist CurrentSince Jan 17, 2024 Accepting new patients

Locations

18 Computer Dr E
Ste 105
Albany, NY 12205
Phone (518) 424-3404

2 Computer Dr W
Ste 110
Albany, NY 12205

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1306484001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HEATHER LN",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123095540",
            "telephone_number": "518-424-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HEATHER LN",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123095540",
            "telephone_number": "518-424-3404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Computer Dr E Ste 105",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051290",
            "country_code": "US",
            "telephone_number": "518-424-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUKY",
        "first_name": "AMY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.