Active NPI
Mindy S. Young, MA, CCC-SLP
- Speech-Language Pathologist
- Lorain, OH
National Provider Identifier
1487781845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-6063
- Practice address
- 1909 N Ridge Rd E Ste 6
Lorain, OH 44055-3379 - Phone
- (440) 277-7337
- Fax
- (440) 277-7339
- NPI assigned
- Feb 27, 2007
- 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 | SP-6063 | OH | Primary |
Addresses
Primary practice location
1909 N Ridge Rd E Ste 6
Lorain, OH 44055-3379
Mailing address
1909 N Ridge Rd E Ste 6
Lorain, OH 44055-3379
Phone (440) 277-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0849916 | Medicaid | OH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-6063 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1487781845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 N RIDGE RD E STE 6",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553379",
"telephone_number": "440-277-7337",
"fax_number": "440-277-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 N RIDGE RD E STE 6",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553379",
"telephone_number": "440-277-7337",
"fax_number": "440-277-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MINDY",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP-6063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0849916",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.