Amorelle Tyra Penick, CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

176 William St
Hempstead, NY 11550-5848

Phone

(516) 434-4400

NPI assigned

Oct 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1649050113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 SCHLEIGEL BLVD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011343",
            "telephone_number": "631-671-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WILLIAM ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505848",
            "telephone_number": "516-434-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICK",
        "first_name": "AMORELLE",
        "middle_name": "TYRA",
        "credential": "CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinniece Franchon Pearson, LPN
• Richard Andrew Pellegrini, M.D.
• Leonardo Pena Delgado
• Delba Josefina Pena, DDS PC
• Stephanie Penate, LPN
• Joseph Peragallo, LCSW
• Pierre Percy
• Raul Ivan Perez Garcia
• Christopher Perez
• Elsa I Perez, LCSW

• Speech-Language Pathologist in Hempstead, NY
• Providers in Hempstead, 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 Sep 16, 2024; 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.