DR. NANCY D YOUNG (NPI# 1205862224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205862224 |
| Entity Type | Individual |
| Full Name | DR. NANCY D YOUNG |
| Credential | PHD |
| Practice Address |
3505 Cadillac Ave Bldg O, Suite 109 Costa Mesa CA 92626-1429 |
| Mailing Address |
3505 Cadillac Ave Ste O109 Costa Mesa CA 92626-1448 |
| Practice Telephone | 7144329856 |
| Practice Fax Number | 7144327075 |
| Mailing Telephone | 7147329856 |
| Mailing Fax Number | 7144327075 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2017-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 11961 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CALIFORNIA | OPL 119610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003242868 | Nancy Young | Speech-Language Pathologist | 7 Slingerland Ave, Pequannock, NJ 07440 | 2013-09-24 |
| 1669750337 | Nancy Young | Case Manager/Care Coordinator | 12450 Folks Rd, Hanover, MI 49241-9749 | 2011-07-29 |
| 1801811245 | Nancy Beth Young | Dentist | 1430 John Wesley Gilbert Dr, Gc-3088, Augusta, GA 30912-0001 | 2006-07-13 |
| 1902876865 | Nancy Lee Young | Chiropractor | 3442 Watson Rd, Saint Louis, MO 63139-2055 | 2006-01-24 |
| 1184230344 | Nancy Jane Young | Technician | 23 Senior Center Dr, Sutton, WV 26601-9581 | 2020-09-22 |
| 1104467661 | Nancy C. Young | Registered Nurse | Us Hwy 64 Old High School Rd, Shiprock, NM 87420-8742 | 2019-10-04 |
| 1235795790 | Nancy Young | Family Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2019-05-10 |
| 1639416126 | Nancy Young | Nurse Practitioner | 868 York Ave Sw, Atlanta, GA 30310-2750 | 2013-01-03 |
| 1710231162 | Nancy Kruse Young | Pharmacist | 13111 N Port Washington Rd, Csm Ozaukee Hospital Pharmacy, Mequon, WI 53097-2416 | 2012-11-07 |
| 1194035006 | Nancy Young | Physical Therapist | 460 Medical Park Dr, Suite 105, Lenoir City, TN 37772-5782 | 2010-10-13 |
| Street Address |
3505 CADILLAC AVE BLDG O, SUITE 109 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428072 | Therese Louise Wright | Nurse Practitioner | 3505 Cadillac Ave, Costa Mesa, CA 92626-1429 | 2006-06-22 |
| 1366984213 | Pathways To Wellness | Community/Behavioral Health | 3505 Cadillac Ave, Building O, Suite 109, Costa Mesa, CA 92626-1429 | 2016-11-09 |
| 1710257936 | Stephenie R Champlin | Social Worker | 3505 Cadillac Ave, Bldg O, Suite 109, Costa Mesa, CA 92626-1429 | 2012-01-04 |
| 1538452297 | Marshall B. Stamper | Family Medicine | 3505 Cadillac Ave, Costa Mesa, CA 92626-1429 | 2011-05-27 |
| 1518158831 | Mary Jane Pageau | Nurse Practitioner | 3505 Cadillac Ave, Bldg O, Suite 110, Costa Mesa, CA 92626-1429 | 2007-08-05 |
| 1255539912 | Carolyn D Gale | Dietary Manager | 3505 Cadillac Ave, Suite N-2, Costa Mesa, CA 92626-1429 | 2007-07-04 |
| 1649474545 | Shelly Rebecca Lummus | Nurse Practitioner | 3505 Cadillac Ave, Building O Suite 110, Costa Mesa, CA 92626-1429 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661689 | Johnathon Neda | Psychologist | 795 Windward Way, Costa Mesa, CA 92627-4352 | 2020-02-13 |
| 1174969489 | Rachel Gita Foster | Psychologist | 1845 Anaheim Ave, Unit 9c, Costa Mesa, CA 92627 | 2013-05-14 |
| 1821347303 | Debra Winkcompleck Webb | Psychologist | 582 Traverse Dr., Costa Mesa, CA 92626 | 2012-08-30 |
| 1750604583 | Johanna Christine Walthall | Psychologist | 180 Cabrillo St Apt B19, Costa Mesa, CA 92627-3051 | 2010-03-08 |
| 1477876753 | Nader Babai Siahdohoni | Psychologist | 3151 Airway Ave Ste D2, Costa Mesa, CA 92626-4622 | 2010-03-01 |
| 1063747848 | Elizabeth Lee Waterman | Psychologist | 652 Beach St, Costa Mesa, CA 92627-3409 | 2009-10-12 |
| 1346574159 | Lili Yu Lim Kim Reboul | Psychologist | 150 Paularino Ave Ste C-100, Costa Mesa, CA 92626-3301 | 2009-09-25 |
| 1104029784 | Nancy D Young Phd | Psychologist | 2845 Mesa Verde Dr E, Suite 8, Costa Mesa, CA 92626-4858 | 2007-06-08 |
| 1356565766 | Antoine Francisco | Psychologist | 250 Fischer Ave, Costa Mesa, CA 92626-4515 | 2007-04-13 |
| 1386772663 | Erin Leigh Dornan-liuzzo | Psychologist | 3151 Airway Ave Ste A2, Costa Mesa, CA 92626-4620 | 2007-03-01 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on DR. NANCY D YOUNG.
| 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.