Individual provider Active NPI

Cynthia A Young, MSE, CCC-SLP

  • Speech-Language Pathologist
  • Little Rock, AR
National Provider Identifier
1073660718
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
470 Issued in AR
Practice address
10201 W Markham St # 216
Little Rock, AR 72205-2195
Phone
(501) 772-7771
Fax
(501) 694-9463
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01037843 AR
Speech-Language Pathologist 235Z00000X 470 AR Primary

Addresses

Primary practice location

10201 W Markham St # 216
Little Rock, AR 72205-2195

Mailing address

10201 W Markham St # 216
Little Rock, AR 72205-2195
Phone (501) 772-7771

Other identifiers 2

IdentifierTypeStateIssuer
116098721MedicaidAR
5S292OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01037843ARMDSpeech-Language Pathologist
470ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Children'S Therapy, Inc Speech-Language Pathologist CurrentSince May 7, 2023 Accepting new patients

Locations

10201 W Markham St
#216
Little Rock, AR 72205
Phone (501) 772-7771

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1073660718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST # 216",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052195",
            "telephone_number": "501-772-7771",
            "fax_number": "501-694-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST # 216",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052195",
            "telephone_number": "501-772-7771",
            "fax_number": "501-694-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSE, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "01037843",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116098721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5S292",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.