Active NPI
Patricia Mercurio Amodei, M.S. CCC-SLP
- Speech-Language Pathologist
- Wallingford, CT
National Provider Identifier
1710792148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004119
- Practice address
- 300 Church Street
Unit 102
Wallingford, CT 06492 - Phone
- (203) 410-0974
- Fax
- (888) 980-7890
- NPI assigned
- Feb 12, 2025
- Last updated
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004119 | CT | Primary |
Addresses
Primary practice location
300 Church Street
Unit 102
Wallingford, CT 06492
Mailing address
275 Sorghum Mill Drive
Cheshire, CT 06410
Phone (203) 606-4369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004119 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1710792148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SORGHUM MILL DRIVE",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "06410",
"telephone_number": "203-606-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CHURCH STREET",
"address_2": "UNIT 102",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "06492",
"telephone_number": "203-410-0974",
"fax_number": "888-980-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMODEI",
"first_name": "PATRICIA",
"middle_name": "MERCURIO",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "004119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.