Individual provider Active NPI

Jonathan Scott Yaruss, PHD, CCC-SLP, BCS-F

  • Speech-Language Pathologist
  • East Lansing, MI
National Provider Identifier
1891330718
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202009267 Issued in VA
Practice address
1026 Red Cedar Rd
East Lansing, MI 48824-3405
Phone
(517) 884-2406
NPI assigned
Nov 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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 2202009267 VA Primary

Addresses

Primary practice location

1026 Red Cedar Rd
East Lansing, MI 48824-3405

Mailing address

1026 Red Cedar Rd
East Lansing, MI 48824-3405
Phone (517) 884-2406

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2202009267VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1891330718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 RED CEDAR RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488243405",
            "telephone_number": "517-884-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 RED CEDAR RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488243405",
            "telephone_number": "517-884-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARUSS",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Prof.",
        "credential": "PHD, CCC-SLP, BCS-F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.