Amy Sue Mandlman, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

16216 Baxter Rd Ste 330
Chesterfield, MO 63017-4778

Phone

(636) 733-3330

Fax

(636) 733-3332

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1669064416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD STE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174778",
            "telephone_number": "636-733-3330",
            "fax_number": "636-733-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD STE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174778",
            "telephone_number": "636-733-3330",
            "fax_number": "636-733-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDLMAN",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Health Partners, P.C.
• Samera Majeed, M.D.
• Surajit Majumdar, MD, FACP
• Anna Manda
• Jyothi Mandava, M.D.
• Jose L Manes, MD
• Grant Mangan
• Manish Suthar MD PC
• Keith Mankowitz, MD
• Nicole Manlin, ANP

• All providers in Chesterfield, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.