Active NPI
Amy Marie Levine, MS CCC SLP
- Speech-Language Pathologist
- New Haven, CT
National Provider Identifier
1336279876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 001866
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4405 - Phone
- (203) 789-3362
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 001866 | CT | Primary |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4405
Mailing address
31 Killingworth Tpke
Clinton, CT 06413-1327
Phone (203) 230-2815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001866 | Other | CT | LICENSE # |
Other names 1
- Amy Marie Tredinnick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749
Phone (203) 458-6268
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1866 | CT | MD | Physical Therapy Assistant |
| 001866 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Concepts LLC | Current | Accepting new patients | |
| Reachout, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
753 Boston Post Rd
Ste 101
Guilford, CT 06437
Phone (203) 458-6268
75 Main St
Ste 1
Old Saybrook, CT 06475
Phone (860) 388-6268
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 and National Provider Directory roles.
-
- Physical Therapist
- Guilford, CT
- NPI 1326100702
-
- Early Intervention Provider Agency
- Hamden, CT
- NPI 1851739098
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1336279876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 KILLINGWORTH TPKE",
"city": "CLINTON",
"state": "CT",
"postal_code": "064131327",
"telephone_number": "203-230-2815",
"fax_number": "203-230-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114405",
"telephone_number": "203-789-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "001866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "001866",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "TREDINNICK",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.