Active NPI
Amy F Salerno, MS, CCC-SLP
- Speech-Language Pathologist
- Libertyville, IL
National Provider Identifier
1528217510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.009494
- Practice address
- 1860 W Winchester Rd
Libertyville, IL 60048-5351 - Phone
- (847) 573-9486
- Fax
- (847) 549-6139
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.009494 | IL | Primary |
Addresses
Primary practice location
1860 W Winchester Rd
Libertyville, IL 60048-5351
Mailing address
455 Sandlewood LN
Lake Villa, IL 60046-9067
Phone (847) 308-2995
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009494 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1528217510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SANDLEWOOD LN",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600469067",
"telephone_number": "847-308-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 W WINCHESTER RD",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485351",
"telephone_number": "847-573-9486",
"fax_number": "847-549-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALERNO",
"first_name": "AMY",
"middle_name": "F",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.009494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.