Glory S Chang, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016941 Issued in NY

Practice address

3000 NW 42ND Ave Apt B410
Coconut Creek, FL 33066-2182

Phone

(917) 502-5301

NPI assigned

Dec 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Happy Whale Therapy LLC

  • Speech-Language Pathologist
  • Pompano Beach, FL
  • NPI 1932995560
  NPD Authorized official
• Mindful Sprouts LLC

  • Behavior Analyst
  • Boca Raton, FL
  • NPI 1326505751

  Speech-Language Pathologist

  NPD (past)
• Mindful Sprouts LLC

  • Speech-Language Pathologist
  • Boca Raton, FL
  • NPI 1538933171
  NPD (past)

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1346485729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NW 42ND AVE APT B410",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662182",
            "telephone_number": "917-502-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NW 42ND AVE APT B410",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662182",
            "telephone_number": "917-502-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GLORY",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19138",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celes Enterprises, LLC
• Jobed Celestin Sr.
• Center for Clinical Psychology PLLC
• Center for Identity Development South LTD Inc
• Certified Foot & Ankle Specialists
• Alexandra Charles
• Charm'S Total Care LLC
• Melinda Sue Chavez, LMT
• Kir-Wei Chen, M.D.
• Yat-Min Chen, M.D.

• Speech-Language Pathologist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.