Individual provider Active NPI

Amanda Deuley

  • Speech-Language Pathologist
  • Massillon, OH
National Provider Identifier
1831567254
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.12227
Practice address
7452 Fulton Dr NW Ste B
Massillon, OH 44646-9393
Phone
(330) 833-4596
Fax
(330) 833-1817
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.12227 Primary

Addresses

Primary practice location

7452 Fulton Dr NW Ste B
Massillon, OH 44646-9393

Mailing address

PO Box 932909
Cleveland, OH 44193-0026
Phone (330) 854-4281

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amanda.Deuley@chci.eclinicaldirectplus.com Community Health Care Inc.

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.deuley@chci.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1831567254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932909",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930026",
            "telephone_number": "330-854-4281",
            "fax_number": "330-854-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7452 FULTON DR NW STE B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469393",
            "telephone_number": "330-833-4596",
            "fax_number": "330-833-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEULEY",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "SP.12227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.Deuley@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "address_1": "7452 Fulton Dr NW Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446469393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.