AMY ELISE ROTH (NPI# 1790201499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790201499 |
| Entity Type | Individual |
| Full Name | AMY ELISE ROTH |
| Credential | M.S., CCC-SLP |
| Practice Address |
308 Racebrook Road Orange CT 06477 |
| Mailing Address |
615 Central Ave Apt 3 New Haven CT 06515-2124 |
| Practice Telephone | 2039201885 |
| Mailing Telephone | 2033145349 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 005650 | CT | Speech, Language and Hearing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 237 Hamilton St, Hartford, CT 061062983 | 8605781300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356790612 | Amy Lynn Roth | Social Worker | 11 Orchard Farm Rd, Port Washington, NY 11050-3309 | 2016-06-08 |
| 1750630695 | Amy Roth | Occupational Therapist | 540 S. Main St, Mt. Angel, OR 97362-0000 | 2012-09-06 |
| 1538304324 | Amy Marie Roth | Counselor | 1500 S Sycamore Ave Ste 200, Sioux Falls, SD 57110-3711 | 2008-12-08 |
| 1164964979 | Amy Roth | Nurse Practitioner | 255 Front St, Hellertown, PA 18055-1780 | 2016-11-10 |
| 1912293309 | Amy Michelle Roth | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2011-06-23 |
| 1225328891 | Amy Roth | Counselor | 1517 Durham Rd, Penndel, PA 19047-5707 | 2011-04-15 |
| 1700035458 | Amy N Roth | Social Worker | 444 N Northwest Hwy, Suite 145, Park Ridge, IL 60068-3263 | 2008-09-17 |
| Street Address |
308 RACEBROOK ROAD |
| City | ORANGE |
| State | CT |
| Zip Code | 06477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930350 | Kaitlin Louie | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477-9976 | 2020-10-20 |
| 1063025534 | Casey Hutchinson | Occupational Therapist | 308 Racebrook Road, Orange, CT 06477 | 2020-08-25 |
| 1528600624 | Rebecca Whalen | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2019-10-10 |
| 1275016313 | Heather Moore | Occupational Therapist | 308 Racebrook Road, Orange, CT 06477 | 2018-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| 1679699136 | Karen Jane Dahlgard | Registered Nurse | 832 Tall Timber Rd, Orange, CT 06477 | 2007-03-22 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879024 | Jacie Layne Smith-hyatt | Speech-Language Pathologist | 269 County Road 4185, Orange, TX 77632-8620 | 2020-10-18 |
| 1548895683 | Connected Families | Speech-Language Pathologist | 1820 W Orangewood Ave Ste 111, Orange, CA 92868-2078 | 2020-03-09 |
| 1841756582 | Kymry Fowler | Speech-Language Pathologist | 140 South Flower Street, Suite 100, Orange, CA 92868-3467 | 2019-02-19 |
| 1134683584 | Phyllis Julie Barnes | Speech-Language Pathologist | 293 N State College Blvd Apt 3042, Orange, CA 92868-5722 | 2019-01-29 |
| 1982112538 | Lorraine Nitzsche | Speech-Language Pathologist | 200 Dailey Dr, Orange, VA 22960-1574 | 2018-01-17 |
| 1104371376 | Justin Aaron Evans | Speech-Language Pathologist | 2363 Twin Oaks, Orange, TX 77630-1367 | 2016-08-17 |
| 1962865816 | Jonathan Forfa | Speech-Language Pathologist | 208 W Mayfair Ave, Orange, CA 92867-6620 | 2016-03-29 |
| 1891183422 | Lyda Kongswangwongsa | Speech-Language Pathologist | 547 W Maple Ave, Orange, CA 92868-2209 | 2015-01-05 |
| 1346651106 | Olivia Paige Roy | Speech-Language Pathologist | 3052 W Veazy St, Orange, TX 77630-8758 | 2014-05-14 |
| 1164849378 | Richard Brian Davis | Speech-Language Pathologist | 756 S Woodland St, Orange, CA 92869-5201 | 2014-03-25 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.