Individual provider Active NPI

Gale I Young, MS-SLP

  • Speech-Language Pathologist
  • Pasadena, CA
National Provider Identifier
1871729061
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP6874 Issued in CA
Practice address
1621 Pleasant Way
Pasadena, CA 91105-2170
Phone
(323) 550-1513
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP6874 CA Primary

Addresses

Primary practice location

1621 Pleasant Way
Pasadena, CA 91105-2170

Mailing address

1621 Pleasant Way
Pasadena, CA 91105-2170
Phone (323) 550-1513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125001933 CA Practitioner - Qualified Speech Language Pathologist 0143612127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6874CAMDSpeech-Language Assistant
SP6874CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Physical Therapy Services, PC Speech-Language Pathologist CurrentSince Apr 12, 2022 Accepting new patients
Qarmon PC Past Accepting new patients
New Life Healthcare, LLC PastSince Apr 12, 2022 Accepting new patients

Locations

17122 Beach Blvd
Ste 101
Huntington Beach, CA 92647
Phone (714) 848-7191

12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1871729061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 PLEASANT WAY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052170",
            "telephone_number": "323-550-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 PLEASANT WAY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052170",
            "telephone_number": "323-550-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GALE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "MS-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP6874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.