Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ji Young Park

Individual provider Speech-Language Pathologist · NPI 1558954255

Ji Young Park is a Qualified Speech Language Pathologist in White Plains, New York. Qualified in 2019, 7 years ago. Practices with White Plains Physician Services PC, a 384-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2021

Practice location Address checks out

2 Longview Ave Ste 600 6TH Fl
White Plains, NY 10601
Phone: (914) 849-7586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1558954255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2021
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice White Plains Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in White Plains