Michelle Amendola, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16734 Issued in FL

Practice address

128 E Olin Ave
Madison, WI 53713-1467

Phone

(608) 252-1320

NPI assigned

Jun 10, 2017

Last updated

Oct 5, 2021By the provider in NPPES

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

Other names 1

• Michelle Johnson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michellea@fsmad.org

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

• Michelle Amendola SLP, LLC

  • Speech-Language Pathologist
  • Bonita Springs, FL
  • NPI 1629653811
  NPD Authorized official
• Family Service Madison Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1881806198
  NPD
• Hhu Xtra Care Inc

  dba SSM Health at Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Madison, WI
  • NPI 1326337106
  NPD (past)

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1982133112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 ATWOOD AVE APT 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045662",
            "telephone_number": "630-709-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENDOLA",
        "first_name": "MICHELLE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8068",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michellea@fsmad.org",
            "affiliation": "N",
            "endpointDescription": "Bridges for Families Birth-to-Three Services",
            "address_1": "128 E Olin Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537131467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Louise Ambrowiak
• Christoffer Alton Dimla Amdahl, MD
• Amdcounseling
• Amedisys Wisconsin LLC (Amedisys Home Health)
• Christina Amend, M.D.
• Ellie M Ament, NP
• America's Best Contacts & Eyeglasses
• American Community Medical Center Inc.
• American Current Care P.a . (Concentra Urgent Care)
• American Current Care P.a. (Concentra Urgent Care)

• Speech-Language Pathologist in Madison, WI
• Providers in Madison, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.