Individual provider Active NPI

Amy Sumbrum, SLP

  • Speech-Language Pathologist
  • West Seneca, NY
National Provider Identifier
1316039944
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013794 Issued in NY
Practice address
131 Orchard Park Rd
West Seneca, NY 14224-2615
Phone
(716) 608-3366
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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 013794 NY Primary

Addresses

Primary practice location

131 Orchard Park Rd
West Seneca, NY 14224-2615

Mailing address

6590 E Quaker Rd
Building 1, Lower
Orchard Park, NY 14127-1236
Phone (716) 608-3366

Other identifiers 1

IdentifierTypeStateIssuer
02792152MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090701000028 NY Practitioner - Qualified Speech Language Pathologist 1759432826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
State University of New York at Buffalo School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Speech Pathology PLLCGroup PAC ID 1658709795, 2 clinicians

Practice addresses (Care Compare)

131 Orchard Park Rd
West Seneca, NY 14224-2615
Phone (716) 608-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013794NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Speech Pathology PLLC Speech-Language Pathologist CurrentSince Feb 4, 2020 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jul 1, 2009 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jul 1, 2009 Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

3075 Southwestern Blvd
Ste 204
Orchard Park, NY 14127
Phone (716) 608-3366

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1316039944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 E QUAKER RD",
            "address_2": "BUILDING 1, LOWER",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271236",
            "telephone_number": "716-608-3366",
            "fax_number": "716-322-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242615",
            "telephone_number": "716-608-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMBRUM",
        "first_name": "AMY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02792152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.