Individual provider Active NPI

Amy Marks, MS, CCCSLP

  • Speech-Language Pathologist
  • Mount Kisco, NY
National Provider Identifier
1598935678
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009956 Issued in NY
Practice address
120 Kisco Ave
Mount Kisco, NY 10549-1415
Phone
(914) 242-8720
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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 009956 NY Primary

Addresses

Primary practice location

120 Kisco Ave
Mount Kisco, NY 10549-1415

Mailing address

86 Stony Hill Rd
Ridgefield, CT 06877-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160924000485 NY Practitioner - Qualified Speech Language Pathologist 8426345075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Beyond DisabilityGroup PAC ID 1355366170, 7 clinicians

Practice addresses (Care Compare)

480 Bedford Rd
Chappaqua, NY 10514-1715
Phone (866) 997-5781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009956NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Beyond Disability CurrentSince Aug 1, 2016 Accepting new patients

Locations

4 Berkshire Blvd
Bethel, CT 06801
Phone (203) 775-4700

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

120 Kisco Ave
Mount Kisco, NY 10549
Phone (914) 242-1903

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1598935678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 STONY HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KISCO AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491415",
            "telephone_number": "914-242-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "AMY",
        "credential": "MS, CCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.