Amy Micklos, SPP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

O4-0000495 Issued in DE

Practice address

318 E Basin Rd
New Castle, DE 19720-4214

Phone

(302) 323-2700

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of Delaware

  • Local Education Agency (LEA)
  • New Castle, DE
  • NPI 1841334711
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1346797339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E BASIN RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204214",
            "telephone_number": "302-323-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E BASIN RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204214",
            "telephone_number": "302-323-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLOS",
        "first_name": "AMY",
        "credential": "SPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O4-0000495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in New Castle, DE
• Providers in New Castle, DE by specialty
• Speech-Language Pathologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.