NPIMap

Organization Active NPI

Your Personal SLP, LLC.

  • Speech-Language Pathologist
  • Berlin, CT
National Provider Identifier
1982195566
Registry record updated May 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003560 Issued in CT
Legal business name
YOUR PERSONAL SLP, LLC.
Practice address
95 S Ridge LN
Berlin, CT 06037
Phone
(860) 785-4378
NPI assigned
May 19, 2018
Last updated
May 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2018

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

Authorized official

Name
Michelle Amenta, MS CCC-SLPNPI 1851738280
Title
Owner/Speech-Language Pathologist
Phone
(860) 785-4378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 003560 CT Primary

Addresses

Primary practice location

95 S Ridge LN
Berlin, CT 06037

Mailing address

PO Box 942
Rocky Hill, CT 06067-0942
Phone (860) 785-4378

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526688000000",
    "number": "1982195566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670942",
            "telephone_number": "860-785-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S RIDGE LN",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "06037",
            "telephone_number": "860-785-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PERSONAL SLP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-19",
        "last_updated": "2018-05-19",
        "status": "A",
        "authorized_official_last_name": "AMENTA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "860-785-4378",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; 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.