Organization Active NPI

Amy Shandy, Speech-Language Pathologist, LLC

Doing business as The Shandy Clinic- (YMCA)

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1396370102
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
Doing business as
The Shandy Clinic- (YMCA)
Practice address
3901 E Yale Ave
Denver, CO 80210-6646
Phone
(719) 597-0822
Fax
(719) 599-4606
NPI assigned
Mar 12, 2020
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Rebecca Newman
Title
Billing Manager
Phone
(719) 597-0822

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

3901 E Yale Ave
Denver, CO 80210-6646

Mailing address

3625 Citadel Dr S
Colorado Springs, CO 80909-5320
Phone (719) 597-0852

Other names 1

  • The Shandy Clinic- (YMCA) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amy Shandy Speech Language Pathologist33 organizations share this tax ID, including this one
Part of
Amy Shandy Speech Language Pathologist

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1396370102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 CITADEL DR S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095320",
            "telephone_number": "719-597-0852",
            "fax_number": "719-599-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E YALE AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802106646",
            "telephone_number": "719-597-0822",
            "fax_number": "719-599-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "719-597-0822"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shandy Clinic- (YMCA)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.