Active NPI
Changchang Yao
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1194454355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 601 N Caroline St
Baltimore, MD 21287-0006 - Phone
- (410) 955-7895
- NPI assigned
- Jun 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
601 N Caroline St
Baltimore, MD 21287-0006
Mailing address
1500 Thames St Unit 308
Baltimore, MD 21231-3467
Phone (517) 974-3518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10272103223 | Other | MD | MD DRIVER LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cyao11@jh.edu | Johns Hopkins Hospital |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654387200000",
"number": "1194454355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 THAMES ST UNIT 308",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212313467",
"telephone_number": "517-974-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N CAROLINE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870006",
"telephone_number": "410-955-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAO",
"first_name": "CHANGCHANG",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-05",
"last_updated": "2022-06-05",
"certification_date": "2022-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD DRIVER LICENSE",
"identifier": "10272103223",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cyao11@jh.edu",
"affiliation": "Y",
"affiliationName": "Johns Hopkins Hospital",
"address_1": "601 N Caroline St",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212870006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.