Amithyse Moore, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

20400 Saratoga Los Gatos Rd
Saratoga, CA 95070-5927

Phone

(408) 741-2950

NPI assigned

Jul 25, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1649757204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CAPITOL OF TEXAS HIGHWAY",
            "address_2": "BUILDING G-200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465927",
            "telephone_number": "800-967-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 SARATOGA LOS GATOS RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705927",
            "telephone_number": "408-741-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMITHYSE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY",
            "identifier": "27325",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Minor, LAC
• Rachel Roya Mistry, RD
• Kimia Biglari Mohammadi
• Natalie Rose Mologne, DPT
• Christine E Moon, LMFT
• John Carlo Dicdican Morales
• Sonja Ursula Morgner, CMT, CLT, CST-T
• George J Muhawi, M.D.
• N Prakash Inc
• Afsaneh Nasserbakht, PH.D.

• Speech-Language Pathologist in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.