Active NPI
Susanne Sylvia Young, SI/TSHH
- Speech-Language Assistant
- Feasterville Trevose, PA
National Provider Identifier
1639424856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 399831031
- Practice address
- 1820 Buck Rd
Feasterville Trevose, PA 19053-2214 - Phone
- (917) 415-8122
- Fax
- (215) 357-1013
- NPI assigned
- Jul 14, 2012
- 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 Assistant | 2355S0801X | 399831031 | NY | Primary |
Addresses
Primary practice location
1820 Buck Rd
Feasterville Trevose, PA 19053-2214
Mailing address
1820 Buck Road
Feasterville Trevose, PA 19053
Phone (917) 415-8122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 399831031 | NY | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342224000000",
"number": "1639424856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 BUCK ROAD",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "19053",
"telephone_number": "917-415-8122",
"fax_number": "215-357-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 BUCK RD",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190532214",
"telephone_number": "917-415-8122",
"fax_number": "215-357-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SUSANNE",
"middle_name": "SYLVIA",
"name_prefix": "Ms.",
"credential": "SI/TSHH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-14",
"last_updated": "2012-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "NY",
"license": "399831031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.