Active NPI
Amanda Siska
- Speech-Language Pathologist
- Schenectady, NY
National Provider Identifier
1336478403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019668
- Practice address
- 214 State St
Schenectady, NY 12305-1806 - Phone
- (518) 372-1160
- NPI assigned
- Dec 18, 2009
- 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 | 019668 | NY | Primary |
Addresses
Primary practice location
214 State St
Schenectady, NY 12305-1806
Mailing address
7 New Bridge Dr
Stillwater, NY 12170-1217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952476715 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019668 | NY | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1336478403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NEW BRIDGE DR",
"city": "STILLWATER",
"state": "NY",
"postal_code": "121701217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 STATE ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051806",
"telephone_number": "518-372-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISKA",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-18",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952476715",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.