Susan E Yeats, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002139 Issued in CT

Practice address

145 Jacqueline Dr
Manchester, CT 06040-7071

Phone

(860) 645-0867

NPI assigned

Nov 25, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353801600000",
    "number": "1730423112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 JACQUELINE DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060407071",
            "telephone_number": "860-645-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 JACQUELINE DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060407071",
            "telephone_number": "860-645-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATS",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-25",
        "last_updated": "2012-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "002139",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1238",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5265",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00566800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aysiaa R Wujcik
• Hua Xie
• Dustin Yager
• Adela M Yanez, LCSW
• Robert T Yarosh, OD
• Jennifer Yekel
• Angeline R Yelling, LPN, CBD
• Moya S Yishang
• Bliss Yoon, D.O.
• Brian Yoon, DMD

• Speech-Language Pathologist in Manchester, CT
• Providers in Manchester, CT by specialty
• Speech-Language Pathologist in Connecticut

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

Verify at the official NPI Registry.