DR. GARY YOUNG (NPI# 1144755364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144755364 |
| Entity Type | Individual |
| Full Name | DR. GARY YOUNG |
| Practice Address |
1100 Wilford Hall Loop Jbsa-lackland TX 78236 |
| Mailing Address |
1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/sghc Jbsa-lackland TX 78236-9908 |
| Practice Telephone | 0000000000 |
| Mailing Telephone | 2102926225 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356609424 | Gary Joseph Young | Specialist | 131 Corte Del Prado, Walnut Creek, CA 94598-3435 | 2012-04-26 |
| 1427109099 | Gary Patrick Young | Optometrist | 12325 N Rockwell Ave, Oklahoma City, OK 73142-2702 | 2007-01-12 |
| 1427678416 | Gary Blake Young | Student in an Organized Health Care Education/Training Program | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-20 |
| 1962817825 | Gary Trevor Young | Physician Assistant | 127 Oneida Valley Rd Ste 202, Butler, PA 16001-2239 | 2014-06-30 |
| 1316267552 | Gary Young | Chiropractor | 1308 Macdade Blvd, Folsom, PA 19033-1612 | 2010-06-10 |
| 1437336427 | Gary B Young | Chiropractor | 234 N Central Ave, Room 204, Hartsdale, NY 10530-1809 | 2008-01-22 |
| 1972624567 | Gary David Young II | Physical Therapist | 45 Forge Hill Rd, Franklin, MA 02038-3100 | 2007-04-02 |
| 1689601155 | Gary W.o. Young | Family Medicine | 4341 Golden Center Dr, Suite B, Placerville, CA 95667-6260 | 2006-06-28 |
| 1528008646 | Gary S Young | Radiology | 1450 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-07 |
| 1902843907 | Gary W Young | Family Medicine | 1723 Lucerne Ter, Orlando, FL 32806-2916 | 2006-05-31 |
| Street Address |
1100 WILFORD HALL LOOP |
| City | JBSA-LACKLAND |
| State | TX |
| Zip Code | 78236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740842939 | Oprah Odugbela | Nurse Practitioner | 1100 Wilford Hall Loop, Bldg 4554, Jbsa-lackland, TX 78236 | 2019-07-08 |
| 1952760233 | Jonathan Colston | General Practice | 1100 Wilford Hall Loop, Jbsa-lackland, TX 78236 | 2016-02-16 |
| 1649699760 | John Laskoski | Pediatrics | 1100 Wilford Hall Loop, Jbsa - Lackland, Jbsa-lackland, TX 78236 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352340 | Frisco Psychology Group Inc | Psychologist | 3725 Angeles Ave, Mckinney, TX 75070-5402 | 2020-09-24 |
| 1356956783 | Yvonne Ann Fritz | Psychologist | 1402 S Custer Rd, Mckinney, TX 75072-1451 | 2020-09-11 |
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | JBSA-LACKLAND |
| Zip Code | 78236 |
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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.