Youngju Park, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1690 Meade St
Denver, CO 80204-1552

Phone

(303) 264-6900

NPI assigned

Jul 11, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1689226490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W DILLON RD APT D303",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 MEADE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041552",
            "telephone_number": "303-264-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Gay St",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013813",
            "country_code": "US",
            "telephone_number": "720-745-9197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "YOUNGJU",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "14281688",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ypark@pamspecialty.com",
            "affiliation": "Y",
            "affiliationName": "PAM Specialty Hospital of Denver LLC",
            "address_1": "1690 Meade St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802041552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jung Min Park, LIC. AC.
• Jung Yeon Park, M.D.
• Samuel Park, DPT
• Suegie Park, PHARM. D.
• Tony J Park, M.D.
• Parker Personal Care Homes, Inc.
• Parker Personal Care Homes, Inc.
• Parker Point DPC Limited
• Parker Point Medical Center P.C.
• Alexis Parker, M.D.

• Speech-Language Pathologist in Denver, CO
• Providers in Denver, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.