Amy Mayme Vangorp, MS-CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012452 Issued in NY

Practice address

960 Salt Springs Rd
Syracuse, NY 13224-1639

Phone

(315) 446-3220

NPI assigned

Dec 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1982972162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 LAKEPORT RD",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SALT SPRINGS RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241639",
            "telephone_number": "315-446-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGORP",
        "first_name": "AMY",
        "middle_name": "MAYME",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Vanduser, LMSW
• Gerda Bernice Vandyck, MSW
• Jennifer Vandyke, NP
• Megan Vanetti, CRNA
• Mattie M Vanglynn, RNNP
• Erica Vannostrand
• Michael Patrick Vannostrand, MS
• Kate Vanorden, M.D.
• Jeffrey Karl Vantassel, AUD
• Amanda Lindsey Vanvolkinburg, DPT

• Speech-Language Pathologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.