Amanda M. Trevicano

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026537 Issued in NY

Practice address

221 Beach 136TH St
Belle Harbor, NY 11694-1323

Phone

(917) 440-6779

NPI assigned

Apr 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1588028278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BEACH 136TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941323",
            "telephone_number": "917-440-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BEACH 136TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941323",
            "telephone_number": "917-440-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVICANO",
        "first_name": "AMANDA",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026537",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Sweeney-Meade, MS CCC SLP
• Matthew Tagliavia, PHARM D
• Barbara J, Tawil, LMSW
• Pearl Teitelbaum-Feder, L.C.S.W.
• Marie Thompson, RN
• Maryann Z Trivlis, DPM
• Margaret Anne Tumelty, M.S./ OTR/L
• University Physicians of Brooklyn, Inc.
• Katrina Lee Visco, CCC-SLP
• Robert Weingarten, P.T.,C.P.

• Speech-Language Pathologist in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.