Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376826347 Individual Practitioner Female Practitioner

Jordan M Mangold , MS CCC, SLP

Speech-Language Pathologist • Chatham, NY

Professional Overview & Biography Verified Profile Summary

Jordan Mangold, MS CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Chatham, NY. Practice services are available at 50 WOODBRIDGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

50 Woodbridge Ave

Chatham, NY 120371317

Telephone 5183922400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Chatham, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Chatham, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 022494-1

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

2500 Pond Vw

Castleton, NY 120339750

Phone: 5184777103

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Heather Ryan

Speech-Language Pathologist

NPI 1134735038
Tracy Kelly , LCSW

Social Worker - School

NPI 1558630384

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2017

Registered at 50 WOODBRIDGE AVE, CHATHAM, NY 120371317 (Tel: 5183922400)

📍
Updated Business Mailing Address September 07, 2017

Registered at 12 MIDDLESEX RD, EAST GREENBUSH, NY 120612517 (Tel: (518) 929-8385)

👤
Provider Name / Credentials Updated September 07, 2017

Recorded as JORDAN MANGOLD, M.S. CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Speech-Language Pathologist (License #022494-1 in NY)

NPI Profile Active February 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2013

Registered at 2500 POND VW, CASTLETON, NY 120339750 (Tel: 5184777103)

📍
Updated Business Mailing Address February 26, 2013

Registered at 218 WATER ST, CHATHAM, NY 120372023 (Tel: 5189298385)

👤
Provider Name / Credentials Updated February 26, 2013

Recorded as JORDAN NIETO, M.S. CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2013

Speech-Language Pathologist (License #022494-1 in NY)

🟢
Initial NPI Registration & Enumeration September 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376826347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2011
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

12 Middlesex Rd

East Greenbush, NY 120612517

Phone: 5189298385

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.