Amy Wyatt Mitchin, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-2090 Issued in WV

Practice address

6000 Hampton Ctr Ste B
Morgantown, WV 26505-1748

Phone

(304) 599-1500

Fax

(304) 599-7800

NPI assigned

May 5, 2020

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 names 1

• Amy Wyatt Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

West Virginia University School of Medicine, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Therapy Services, LLCGroup PAC ID 1052318508, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Therapy Services, LLC

  • Speech-Language Pathologist
  • Morgantown, WV
  • NPI 1346347804
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1700407442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-1500",
            "fax_number": "304-599-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HAMPTON CTR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051748",
            "telephone_number": "304-599-1500",
            "fax_number": "304-599-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHIN",
        "first_name": "AMY",
        "middle_name": "WYATT",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WYATT",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikaela Ann-Marie Mitchell, DDS
• Rachel Mitchell, PHARMD
• Tonya Faye Mitchell, MA. ED.
• William Clifford Mitchell, MD
• Katherine Jane Mitchem, BCBA-D
• Joseph A Mix, DMD
• James Scott Mizes, PH.D.
• Beth Ann Moad, PA-C
• Kathryn Dawn Moats, LPN
• Stella Marie Moats, PHARM D

• Speech-Language Pathologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.