Active NPI
Jenelle Young, MS, CCC-SLP
- Speech-Language Pathologist
- Milford, MA
National Provider Identifier
1720578594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7708
- Practice address
- 37 Birch St
Milford, MA 01757-5501 - Phone
- (508) 473-0862
- Fax
- (508) 473-3229
- NPI assigned
- May 16, 2018
- 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 | 7708 | MA | Primary |
Addresses
Primary practice location
37 Birch St
Milford, MA 01757-5501
Mailing address
1204 Old Bridge LN
Bellingham, MA 02019-3128
Phone (781) 820-0008
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7708 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1720578594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 OLD BRIDGE LN",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020193128",
"telephone_number": "781-820-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BIRCH ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017575501",
"telephone_number": "508-473-0862",
"fax_number": "508-473-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JENELLE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "7708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.