NPIMap

Organization Active NPI

Northeast Speech Pathology, PLLC

  • Speech-Language Pathologist
  • New Caney, TX
National Provider Identifier
1851788079
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103919 Issued in TX
Legal business name
NORTHEAST SPEECH PATHOLOGY, PLLC
Practice address
23010 Gabriel
Suite 105
New Caney, TX 77357-4163
Phone
(713) 376-9640
Fax
(281) 689-5665
NPI assigned
Apr 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Mrs. Michelle Nicole Young, CCC/SLPNPI 1033473442
Title
Owner, Sole MBR
Phone
(713) 376-9640

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 103919 TX Primary

Addresses

Primary practice location

23010 Gabriel
Suite 105
New Caney, TX 77357-4163

Mailing address

21880 Roberts LN
New Caney, TX 77357-4748
Phone (713) 376-9640

National Provider Directory

National Provider Directory

Locations

23010 Gabriel
Ste 105
New Caney, TX 77357
Phone (713) 331-0998

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1851788079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21880 ROBERTS LN",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773574748",
            "telephone_number": "713-376-9640",
            "fax_number": "281-689-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23010 GABRIEL",
            "address_2": "SUITE 105",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773574163",
            "telephone_number": "713-376-9640",
            "fax_number": "281-689-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SPEECH PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-26",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER, SOLE MBR",
        "authorized_official_telephone_number": "713-376-9640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Caney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.