LINDA YOUNG (NPI# 1033208731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033208731 |
Entity Type | Individual |
Full Name | LINDA YOUNG |
Other Name | LINDA YOUNG SHUMATE |
Credential | MD |
Practice Address |
140 South Holly Street Medford OR 97501 |
Mailing Address |
3857 Martin Way E Olympia WA 98506-5268 |
Practice Telephone | 5417748200 |
Practice Fax Number | 5417747964 |
Mailing Telephone | 3607047170 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2016-07-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
C-7772 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BCBS | 52902 | 01 |
AR | TRICARE | C7772 | 01 |
AR | 125671001 | 05 | |
AR | RAILROAD MEDICARE | 260020819 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629680707 | Linda Young | Social Worker | 1520 S Prospect Ave, Park Ridge, IL 60068-5349 | 2020-08-19 |
1548444029 | Linda Lee Young | Licensed Practical Nurse | 910 Waterloo Geneva Rd, Waterloo, NY 13165 | 2007-12-20 |
1922217389 | Linda R Young | Psychologist | 1607 116th Ave Ne Ste 110, Bellevue, WA 98004-3042 | 2007-05-22 |
1063635894 | Linda Young | Social Worker | 2300 Garrison Blvd Ste 150, Baltimore, MD 21216-2316 | 2007-04-10 |
1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
1184776080 | Linda S Young | Nurse Practitioner | 117 Eddie Dowling Hwy Unit B Lowr Level, North Smithfield, RI 02896 | 2007-01-18 |
1144330259 | Linda B Young | Social Worker | 1100 Jordan Lane, Suite B, Huntsville, AL 35816-3030 | 2006-08-30 |
1841245651 | Linda J Young | Psychologist | 65 Old Springfield Rd, Lebanon, KY 40033-9185 | 2006-05-23 |
1437137130 | Linda Sue Young | Nurse Practitioner | 43 Gabriel Dr, Augusta, ME 04330-7852 | 2006-01-04 |
1437641057 | Linda Marie Young | Peer Specialist | 110 S Center St, Mount Olive, NC 28365-2124 | 2018-05-30 |
Street Address |
140 SOUTH HOLLY STREET |
City | MEDFORD |
State | OR |
Zip Code | 97501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407843725 | Luis Felix Oxholm | Psychiatry & Neurology | 140 South Holly Street, Medford, OR 97501 | 2005-10-03 |
1508313586 | Kimberli Lanelle Bean | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2016-09-07 |
1194116640 | Albert Edward Solochier | Registered Nurse | 140 South Holly Street, Medford, OR 97501-3113 | 2015-02-05 |
1487051363 | Jamie Marie Barton | Counselor | 140 South Holly Street, Medford, OR 97501 | 2014-11-20 |
1063818342 | Caitlin Lawson | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-13 |
1316343692 | Sheena Bisera | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-13 |
1225434996 | Louisa Saloma | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-07 |
1255735098 | Richelle Raelynn Marshall | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-10-21 |
1992109045 | Kevin Hoeper | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-10-17 |
1083018683 | Susan Sherrill | Counselor | 140 South Holly Street, Medford, OR 97501 | 2014-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
Find all providers in zip 97501 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164598363 | Virginia Jaschke | Psychiatry & Neurology | 809 E Jackson St, Medford, OR 97504-6713 | 2006-11-28 |
1932156106 | Nandini Talwar | Psychiatry & Neurology | 124 Professors Row, Tufts Univ Health Services, Medford, MA 02155 | 2006-05-31 |
1154368199 | Samuel K Kelley | Psychiatry & Neurology | 151 Mystic Ave Ste 6, C/o Judy Donnelly - Dcs Mental Healt, Medford, MA 02155-4632 | 2006-05-31 |
1851741730 | Boston Behavioral Health Associates Inc | Psychiatry & Neurology | 16 Water St, Unit 16, Medford, MA 02155-3211 | 2016-06-21 |
1386713972 | Providence Health & Services Oregon | Psychiatry & Neurology | 1698 E Mcandrews Rd, Suite 300, Medford, OR 97504-5589 | 2006-11-07 |
1316024128 | Providence Health & Services - Oregon | Psychiatry & Neurology | 840 Royal Ave, Suite 110, Medford, OR 97504-6461 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
1295113876 | Cortney Aleese Taylor | Psychiatry & Neurology | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2015-05-14 |
1831455211 | Nicholas Austin | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd Dept Of, Portland, OR 97239-3011 | 2012-04-10 |
1760773006 | Michelle Elizabeth Feldman | Psychiatry & Neurology | 3876 Beverly Ave Ne Bldg F, Salem, OR 97305-1319 | 2011-04-20 |
1235446303 | Ervin Gene Stubbs | Psychiatry & Neurology | 7032 Sw 3rd Ave, Portland, OR 97219-2214 | 2010-09-09 |
1851525620 | Sarah Morgan Schrauben | Psychiatry & Neurology | 870 Se 82nd Ave., Portland, OR 97027 | 2009-05-08 |
1528249620 | Thomas E Deblois | Psychiatry & Neurology | 133 Ne 8th St, Newport, OR 97365-3130 | 2007-11-16 |
1700077328 | Hanh Ngoc Nguyen | Psychiatry & Neurology | 5410 Sw Macadam Ave Ste 200, Portland, OR 97239 | 2007-08-08 |
1912116013 | John Barrows Chenoweth | Psychiatry & Neurology | 5410 S.w. Macadam Ave, Ste 200, Portland, OR 97239-3825 | 2007-05-22 |
1023238698 | Elliot Morrison | Psychiatry & Neurology | 22025 Ne Butler Market Rd, Bend, OR 97701-9734 | 2007-04-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.