DR. JOHN YOUNG (NPI# 1225324163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225324163 |
| Entity Type | Individual |
| Full Name | DR. JOHN YOUNG |
| Practice Address |
101 Ricky D Britt Sr Blvd Suite 1-b Oxford MS 38655-9103 |
| Practice Telephone | 6623805031 |
| Mailing Telephone | 6623805031 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
50-882 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073175600 | John F Young | Nurse Practitioner | 301 E Main St # Pst, Bay Shore, NY 11706-8408 | 2019-07-03 |
| 1396179818 | John William Young Jr. | Psychologist | 20 Administration Road, Bridgewater State Hospital- Forensic Services, Bridgewater, MA 02034 | 2013-09-03 |
| 1114218963 | John Isaac Young | Surgery | 601 S Floyd St Ste 220, Louisville, KY 40202-1835 | 2011-04-28 |
| 1407176688 | John Robert Young | Anesthesiology | 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 | 2010-06-10 |
| 1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
| 1386887297 | John Scott Young | Counselor | 1506 Wenchelsa Rd, Greensboro, NC 27410-3521 | 2009-04-08 |
| 1790927929 | John Gerald Young | Psychiatry & Neurology | 16 1/2 East 74th St., New York, NY 10021 | 2009-04-02 |
| 1497936215 | John Clayton Young | Optometrist | 232 Crafton Ingram Shp Ctr, Crafton, PA 15205-2353 | 2007-11-20 |
| 1871710376 | John R. Young | Dentist | 272 Centre Ave, Rockland, MA 02370-2610 | 2007-04-19 |
| 1184849960 | John Lafayette Young | Counselor | 3527 Rolling Rd, Suite 23, Windsor Mill, MD 21244-2073 | 2007-04-16 |
| Street Address |
101 RICKY D BRITT SR BLVD SUITE 1-B |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-9103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215021001 | Katherine Chaffin Smith | Nurse Practitioner | 101 Ricky D Britt Sr Blvd, Oxford, MS 38655-9103 | 2006-10-03 |
| 1568907392 | Susan Darlene Smith | Nurse Practitioner | 101 Ricky D Britt Sr Blvd, Suite 1 and 2, Oxford, MS 38655-9103 | 2017-01-03 |
| 1811288533 | Delta Autumn Consulting, LLC | Psychologist | 101 Ricky D Britt Sr Blvd, Suite 1-b, Oxford, MS 38655-9103 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542592 | Christine King | Psychologist | 4200 Lake Knolls Dr, Oxford, MI 48371-5411 | 2020-09-13 |
| 1134491095 | Shari L. Wade | Psychologist | 5678 Forest Ridge Dr, Oxford, OH 45056-8793 | 2012-02-07 |
| 1033492913 | Danielle Maack | Psychologist | 101 Ricky D Britt Sr Blvd Ste 1b, Oxford, MS 38655-9111 | 2011-09-27 |
| 1912149824 | Carnigee Ala-benee' Truesdale | Psychologist | 1450 South Lapeer Rd, Oxford, MI 48371-6681 | 2009-03-24 |
| 1356591705 | Jeffry Scott Bethay | Psychologist | 34 Private Road 3151, Apartment 7, Oxford, MS 38655-7004 | 2008-09-23 |
| 1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
| 1548483449 | Karen Christoff | Psychologist | 805 Royal Oaks Dr, Oxford, MS 38655-9058 | 2007-04-10 |
| 1407916216 | Scott Allen Gustafson | Psychologist | 551 Hathorn Rd, Oxford, MS 38655-4213 | 2006-12-11 |
| 1578622460 | Penny S. Haws | Psychologist | 1002 Van Buren Ave, Oxford, MS 38655-3910 | 2006-12-06 |
| 1700944204 | Shannon Theobald Devoe | Psychologist | 12 Old Charlton Rd, Oxford, MA 01540-1407 | 2006-12-05 |
| Find all providers in OXFORD | ||||
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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.