Individual provider Active NPI

Amanda Christine Behmer, MS-CCC-SLP

  • Speech-Language Pathologist
  • Beverly, MA
National Provider Identifier
1386056174
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8181 Issued in MA
Practice address
100 Cummings Ctr
135H
Beverly, MA 01915-6115
Phone
(978) 927-0172
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5223 CT
Speech-Language Pathologist 235Z00000X 8181 MA Primary

Addresses

Primary practice location

100 Cummings Ctr
135H
Beverly, MA 01915-6115

Mailing address

12 Highland Oak Dr
Ellington, CT 06029-3057
Phone (508) 439-9533

Other practice location 1

12 Highland Oak Dr
Ellington, CT 06029-3057
Phone (508) 439-9533

Other names 1

  • Amanda Christine Hayes 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5223CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Verbal ABA Clinic, LLC PastSince Feb 10, 2011 Accepting new patients

Organizations & group practices 1

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1386056174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HIGHLAND OAK DR",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293057",
            "telephone_number": "508-439-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "135H",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-927-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Highland Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Ellington",
            "state": "CT",
            "postal_code": "060293057",
            "country_code": "US",
            "telephone_number": "508-439-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHMER",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "5223",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAYES",
            "middle_name": "CHRISTINE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; 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.