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Amy Elise Roth , MS, CCC-SLP

Speech-Language Pathologist β€’ Orange, CT

Active NPI 1790201499 Individual Practitioner Female Practitioner
Practice location in NPPES

308 Racebrook Road
Orange, CT 06477

Call 2039201885 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

308 Racebrook Road

Orange, CT 06477

Telephone 2039201885
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hartford, CT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Orange and Connecticut

19 active clinicians are listed under Speech-Language Pathologist with a practice address in Orange, CT (1,641 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orange

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CT 005650

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Secondary Practice Locations

237 Hamilton St

Hartford, CT 061062983

Phone: 8605781300

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 22, 2020

Registered at 308 RACEBROOK ROAD, ORANGE, CT 06477 (Tel: 2039201885)

πŸ‘€
Provider Name / Credentials Updated October 22, 2020

Recorded as AMY ROTH, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2020

Speech-Language Pathologist (license number reported to NPPES: CT 005650)

βœ…
NPI Profile Active August 15, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 15, 2017

Registered at 237 HAMILTON ST, HARTFORD, CT 061062983 (Tel: 8605781300)

πŸ“
Business Mailing Address (Initial Record) August 15, 2017

Registered at 615 CENTRAL AVE APT 3, NEW HAVEN, CT 065152124 (Tel: 2033145349)

πŸ‘€
Provider Name / Credentials (Initial Record) August 15, 2017

Recorded as AMY LOSTOCCO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790201499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2017
Last Update: October 22, 2020
Sole Proprietor: No

Mailing Address

615 Central Ave Apt 3

New Haven, CT 065152124

Phone: 2033145349

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.