Individual provider Active NPI

Amy Prince, MA-CCC, SLP, BCBA

  • Speech-Language Pathologist
  • Fresno, CA
National Provider Identifier
1346656931
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13262 Issued in CA
Practice address
7257 N Maple Ave Ste 107
Fresno, CA 93720-0167
Phone
(559) 549-7343
Fax
(559) 549-6261
NPI assigned
Jul 3, 2014
Last updated
Jul 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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 13262 CA Primary

Addresses

Primary practice location

7257 N Maple Ave Ste 107
Fresno, CA 93720-0167

Mailing address

2118 W San Jose Ave
Fresno, CA 93711-2835
Phone (559) 288-7343

Other names 1

  • Ms. Amy Michelle Wiechmann Former name

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

LicenseStateTypeSpecialty
13262CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Talk Team Speech-Language Pathologist Current Accepting new patients

Locations

1752 E Bullard Ave
Ste 101
Fresno, CA 93710
Phone (559) 330-1157

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1346656931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 W SAN JOSE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112835",
            "telephone_number": "559-288-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 N MAPLE AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200167",
            "telephone_number": "559-549-7343",
            "fax_number": "559-549-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "MA-CCC, SLP, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "13262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WIECHMANN",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.