KELLIE BENSON TANG CCC-SLP
NPI 1639635923
Speech-Language Pathologist in Irvine, CA

Q: What is Kellie Tang's NPI number?

The NPI number for Kellie Tang is 1639635923. It was assigned to this individual provider in the NPPES registry on February 12, 2019. The provider is also known as Kellie Joann Benson Rbt.

Q: What is Kellie Tang's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Tang was last updated on February 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2019Accepts Medicare Assignment

6670 ALTON PKWY, IRVINE, CA 92618(833) 574-2273 Get Directions Write a Review

NPPES record last updated: February 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2023, Sep 5, 2022, Oct 19, 2021 and 1 more (4 updates tracked since 2019).

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About Kellie Benson Tang Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE BENSON TANG CCC-SLP (NPI 1639635923) is an individual speech-language pathologist provider in Irvine, California, licensed in California (33637) and active in the NPI registry since February 2019. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1639635923

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLIE BENSON TANGCredential: CCC-SLP

Location Address6670 ALTON PKWYIrvine, CA 92618-3734

Mailing Address24398 Kingston CtLaguna Hills, CA 92653-6253 · (949) 510-8649

Phone(833) 574-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 12, 2019

Last NPPES UpdateFebruary 3, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2024

✔ NPI 1639635923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in CA · 33637✔ Licensed in CA · 15948

Definition

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.

6670 ALTON PKWY, Irvine, CA 92618

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Other Names 1

Former Name (1)Kellie Joann Benson Rbt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Benson Tang Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608223003

PECOS Enrollment IDI20231107001091

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER PERMANENTE

Health Maintenance Organization

6670 ALTON PKWY, ANESTHESIOLOGY DEPARTMENT 2ND FLOOR
IRVINE, CA 92618

Orange County (832) 368-1976

BEATRIZ SIMONS PA

Physician Assistant (Surgical)