NPIMap

Organization Active NPI

Edward D. Mysak Clinic for Communication Disorders

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1235552530
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EDWARD D. MYSAK CLINIC FOR COMMUNICATION DISORDERS
Practice address
525 W 120TH St
Box 191
New York, NY 10027-6605
Phone
(212) 678-3409
NPI assigned
Jan 23, 2014
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. Kathleen Marie Youse, PH.D. CCC-SLP
Title
Director
Phone
(212) 678-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

525 W 120TH St
Box 191
New York, NY 10027-6605

Mailing address

525 W 120TH St
Box 191
New York, NY 10027-6605
Phone (212) 678-3409

National Provider Directory

National Provider Directory
Tax ID family
Edward D Mysak Speech and Hearing Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1235552530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 120TH ST",
            "address_2": "BOX 191",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276605",
            "telephone_number": "212-678-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 120TH ST",
            "address_2": "BOX 191",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276605",
            "telephone_number": "212-678-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D. MYSAK CLINIC FOR COMMUNICATION DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "YOUSE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-678-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.