Active NPI
Jane Yusupov, MS
- Speech-Language Pathologist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003 - Phone
- (512) 399-0064
- NPI assigned
- Jul 28, 2017
- 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 | Primary |
Addresses
Primary practice location
3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003
Mailing address
633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005
Other practice location 1
500 W Putnam Ave Ste 400
Greenwich, CT 06830-6096
Phone (512) 399-0064
Other practice location 2
99 Hudson St Fl 5
New York, NY 10013-2993
Phone (512) 399-0064
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 |
|---|---|---|---|
| 027777 | NY | MD | Pharmacist |
| 6852 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy of New Jersey PC | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
250 Pehle Ave
Ste 200
Saddle Brook, NJ 07663
Phone (201) 474-2113
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828
363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
-
- Speech-Language Pathologist
- Roseland, NJ
- NPI 1811615685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1831613033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W 5TH ST OFC 2876B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900712005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 N LAMAR BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787560003",
"telephone_number": "512-399-0064"
}
],
"practiceLocations": [
{
"address_1": "500 W Putnam Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068306096",
"country_code": "US",
"telephone_number": "512-399-0064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "99 Hudson St Fl 5",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100132993",
"country_code": "US",
"telephone_number": "512-399-0064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUSUPOV",
"first_name": "JANE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.