Marissa Joy Chang

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2020021115 Issued in MO

Practice address

1881 Pine St
Saint Louis, MO 63103-2264

Phone

(314) 533-0975

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Speech and Language Therapy, LLC

  • Speech-Language Pathologist
  • Kearney, MO
  • NPI 1376102533
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1740894674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 HARLAN WALK",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631232842",
            "telephone_number": "984-500-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 PINE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032264",
            "telephone_number": "314-533-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MARISSA",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2020021115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Chang, BCC
• Dennis Tian-Shu Chang, MD
• Ea-Sle Chang, M.D.
• Jin-Hao Chang, DMD
• Jodie Chang, MD
• Parker CHI-Sung Chang, MD
• Ryan Juien Chang
• Zanetta Chang, MD, PHD
• Zenan Li Chang, MD
• Change and Development Institute, LLC

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.