Emily Claire Clyden, MHS, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14600953Y Issued in IL

Practice address

200 East Court Street
Suite #708
Kankakee, IL 60901

Phone

(815) 409-6456

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Yakos Therapy PC

  • Speech-Language Pathologist
  • Kankakee, IL
  • NPI 1992132849
  NPD (past)

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1194260794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14005 E STATE ROUTE 114",
            "city": "MOMENCE",
            "state": "IL",
            "postal_code": "609543789",
            "telephone_number": "815-953-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST COURT STREET",
            "address_2": "SUITE #708",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "60901",
            "telephone_number": "815-409-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYDEN",
        "first_name": "EMILY",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "MHS, CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14600953Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manshant Chugh, DO
• Citadel Care Center-Kankakee, LLC (Citadel Care Center-Kankakee)
• City of Kankakee
• Akesha Chemein Clark-Roberts, CNA
• Ashley Noel Joyles Clark, MD
• Caitlyn Coburn, CRNA
• Karen J. Cohs-Murray, CRNA
• Jesse Coleman, DO
• Shirley Kathleen Comer, ACNS-BC, APN
• Community Alternatives Illinois, Inc.

• Speech-Language Pathologist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.