Amanda Marie Buchheit, CLINSCID

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17998 Issued in CA

Practice address

1 Tidewater CV
Buena Park, CA 90621-1661

Phone

(562) 882-0909

Fax

(714) 521-7523

NPI assigned

Jun 14, 2013

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1841638673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S OAKS AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917624741",
            "telephone_number": "562-882-0909",
            "fax_number": "714-521-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIDEWATER CV",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211661",
            "telephone_number": "562-882-0909",
            "fax_number": "714-521-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHEIT",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "CLINSCID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BP Pharmacy, Inc. (Buena Park Pharmacy)
• Branching Tree Speech Therapy
• Bridge Physical Therapy Professional Corporation
• Samantha Rae Brown, LPCCS, LCDC III, NCC
• Marie Yvette Mandilag Buan Sr., DDS
• Buena Park Chiropractic Inc (NuLux Medical)
• Buena Park Medical Group
• Buena Park Rehab & Physical Therapy, Inc
• Buena Park School District
• Isabella Maryse Bueno

• Speech-Language Pathologist in Buena Park, CA
• Providers in Buena Park, 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 May 7, 2024; 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.