Organization Active NPI

Guiding Light Speech Language Pathologist, PLLC

  • Speech-Language Pathologist
  • Rego Park, NY
National Provider Identifier
1760290563
Registry record updated Dec 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GUIDING LIGHT SPEECH LANGUAGE PATHOLOGIST, PLLC
Practice address
9851 64TH Ave Apt 5H
Rego Park, NY 11374-2519
Phone
(347) 610-0883
NPI assigned
Dec 25, 2024
Last updated
Dec 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2024

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

Authorized official

Name
Mrs. Yuliana Kalantarova, CCC-SLPNPI 1083060420
Title
Speech Language Pathologist
Phone
(347) 610-0883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

9851 64TH Ave Apt 5H
Rego Park, NY 11374-2519

Mailing address

9851 64TH Ave Apt 5H
Rego Park, NY 11374-2519
Phone (347) 610-0883

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735084800000",
    "number": "1760290563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 64TH AVE APT 5H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742519",
            "telephone_number": "347-610-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 64TH AVE APT 5H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742519",
            "telephone_number": "347-610-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT SPEECH LANGUAGE PATHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "KALANTAROVA",
        "authorized_official_first_name": "YULIANA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-610-0883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.