Clarissa Yancey, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.007265 Issued in IL

Practice address

2901 Juan Tabo Blvd NE Ste 100a
Albuquerque, NM 87112-1886

Phone

(505) 804-5358

NPI assigned

May 5, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• GVS

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1790508034
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1417693250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 S GOEBBERT RD APT 1060",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055134",
            "telephone_number": "505-239-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JUAN TABO BLVD NE STE 100A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121886",
            "telephone_number": "505-804-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "CLARISSA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.007265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine N Yamaki, M.D.
• Bryan Yamashita, RPH
• Yan Wang Chinese Natural Clinic
• Joell Christine Yan, R.PH
• Mitchell W. Yan, PHARM.D.
• Laney Yancey
• Jovanna Yanes
• Amanda Roach Yaney, MD
• Maria Gabriela Yanez, MSW
• Ruth Yanez, MSW, LCSW

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.