Individual provider Active NPI

Amanda Yale Wurtzel

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1518344670
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023375 Issued in NY
Practice address
225 E 95TH St
Apt 29G
New York, NY 10128-4000
Phone
(516) 455-8601
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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 023375 NY Primary

Addresses

Primary practice location

225 E 95TH St
Apt 29G
New York, NY 10128-4000

Mailing address

225 E 95TH St
Apt 29G
New York, NY 10128-4000
Phone (516) 455-8601

Other names 1

  • Ms. Amanda Yale Chad 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
023375NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1518344670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 95TH ST",
            "address_2": "APT 29G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284000",
            "telephone_number": "516-455-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 95TH ST",
            "address_2": "APT 29G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284000",
            "telephone_number": "516-455-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZEL",
        "first_name": "AMANDA",
        "middle_name": "YALE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CHAD",
            "middle_name": "YALE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.