THE SHANDY CLINIC
NPI 1801401153
Speech-Language Pathologist in Pueblo, CO

NPI Status: Active since September 14, 2020

Contact Information

1301 FORTINO BLVD
PUEBLO, CO
ZIP 81008
Phone: (719) 597-0822
Fax: (719) 599-4606

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  • Organization
  • Speech-Language Pathologist

About THE SHANDY CLINIC

This page provides the complete NPI Profile along with additional information for The Shandy Clinic, a provider established in Pueblo, Colorado operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1801401153 assigned on September 2020. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as The Shandy Clinic. The authorized official of this NPI record is Rebecca Newman (Billing Manager)

NPI
1801401153
Provider Legal Name
AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
Other Organization Name
THE SHANDY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1301 FORTINO BLVD PUEBLO, CO 81008
Location Phone
(719) 597-0822
Location Fax
(719) 599-4606
Mailing Address
685 CITADEL DR E STE 580 COLORADO SPRINGS, CO 80909
Mailing Phone
(719) 597-0822
Mailing Fax
(719) 599-4606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2020
Last Update Date
09-15-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 
2103T00000XBehavioral Health & Social Service Providers

Psychologist

 
3225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
4225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REBECCA NEWMAN

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(719) 597-0822

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12000256MEDICAID (05)CO 

Reviews for THE SHANDY CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801401153
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801802110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 0 + 2 + 1 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1801401153 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730606948 JESSICA ROYAL-RAMIREZ OTR/L, OTD
Individual
Occupational Therapist (Pediatrics)1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1679044622 MICHAEL GREENWOOD OTR
Individual
Occupational Therapist1301 FORTINO BLVD
PUEBLO, CO 81008
(425) 387-1137
1801493473AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
Organization
Occupational Therapist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1912505116BUCK JACK LLC
Organization
Occupational Therapist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1154060937 CORTNEY LICHTENBERG
Individual
Speech-Language Pathologist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1285373928 HOLLY NIX
Individual
Speech-Language Pathologist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1457957326 ALEXA NELL LIEB OTR/L
Individual
Occupational Therapist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1487383592 KYRA PAIGE BARRETT
Individual
Speech-Language Pathologist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1629444096 SHELBY BRYANT
Individual
Occupational Therapist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1619580735BUCK JACK LLC
Organization
Speech-Language Pathologist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1396305611 MACKENZIE JILL HOLCOMB OTD
Individual
Occupational Therapist (Pediatrics)1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1245847243DR. KATELYNN CLARE PAULSEN PT, DPT
Individual
Physical Therapist1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1124842059 AMBER MANN COTA/L
Individual
Occupational Therapy Assistant1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1417770470 LORIE MARTINEZ COTA/L
Individual
Occupational Therapy Assistant1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1427871516 KIMBERLY DAWN PAVLICEK COTA
Individual
Occupational Therapy Assistant1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1649093683 NICHOLAS SHAHMOHAMMADI
Individual
Physical Therapy Assistant1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1669295531 AARON KRAKOW
Individual
Physical Therapy Assistant1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1801619754 ALEA MARIE DEGEORGE COTA/L
Individual
Occupational Therapy Assistant1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822
1194549592 DESIRAE NICKOLE ORTIZ COTA/L
Individual
Occupational Therapy Assistant1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 696-7799
1821806027BUCK JACK, LLC
Organization
Behavior Analyst1301 FORTINO BLVD
PUEBLO, CO 81008
(719) 597-0822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801401153, enumerated in the NPI registry as an "organization" on September 14, 2020

The provider is located at 1301 Fortino Blvd Pueblo, Co 81008 and the phone number is (719) 597-0822

This medical organization specializes in Speech-Language Pathologist with taxonomy code 235Z00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 14, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.