DR. SALLY SERRELL YOUNG


Address: 86 Lake St, Office 307, Burlington, VT 05401-5297
Phone: 8028622773

DR. SALLY SERRELL YOUNG (NPI# 1467666313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467666313
Entity Type Individual
Full Name DR. SALLY SERRELL YOUNG
Credential PHD
Practice Address 86 Lake St
Office 307
Burlington
VT 05401-5297
Mailing Address 28 N Williams St
Burlington
VT 05401-3304
Practice Telephone 8028622773
Mailing Telephone 8028622773
Mailing Fax Number 8028626496
Enumeration Date 2007-05-10
Last Update Date 2011-03-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
480000178 VT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VT VT6583 05

Other Providers SALLY YOUNG

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1568015634 Sally Owie Young Nurse Practitioner 223 7th St Ne, Washington, DC 20002-7045 2019-07-18
1154729309 Sally Young Physical Therapy Assistant 507 S Main St, Viroqua, WI 54665-2059 2014-12-19
1528371671 Sally Dunaway Young Physical Therapist 180 Ft Washingtn Ave, New York, NY 10032-3722 2010-07-19
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Office Location

Street Address 86 LAKE ST
OFFICE 307
City BURLINGTON
State VT
Zip Code 05401-5297

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225025588 Barbara Jean Benton Counselor 86 Lake St, Burlington, VT 05401-5297 2005-10-03
1356988828 Jennifer Brennan, Aprn, Pllc Nurse Practitioner 86 Lake St, Burlington, VT 05401-5297 2019-12-04
1821515685 Amy Siegel Licsw LLC Social Worker 86 Lake St, Burlington, VT 05401-5297 2017-08-23
1851848204 Jessica Webster Counselor 86 Lake St, Burlington, VT 05401-5297 2016-09-01
1750751624 Chanon Watters Counselor 86 Lake St, Burlington, VT 05401-5297 2015-10-04
1023414109 Kendra Marceau Counselor 86 Lake St, Burlington, VT 05401-5297 2014-11-17
1558612853 Alexandrea Josephine Forward Counselor 86 Lake St, Burlington, VT 05401-5297 2012-09-26
1831457407 Veena Raju Psychiatry & Neurology 86 Lake St, Burlington, VT 05401-5297 2012-05-02
1871882282 Francis Clinton Pasley Psychiatry & Neurology 86 Lake St, Burlington, VT 05401-5297 2011-04-06
1528365160 Patrick B. Kinner Counselor 86 Lake St, Burlington, VT 05401-5297 2011-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821626748 John Henry Priester Jr. Student in an Organized Health Care Education/Training Program University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 2020-03-27
1730649054 Parisa Heidari Student in an Organized Health Care Education/Training Program Uvmmc 111 Colchester Avenue, Burlington, VT 05401 2019-03-22
1689141988 No Diet Dietitian, LLC Dietitian, Registered 163 Bayberry Circle #204, Burlington, VT 05401 2018-10-25
1073097267 Katherine Dwyer Physical Therapist 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 2018-09-24
1710469481 Nicholas A Fredette Nurse Practitioner 28 S. Williams St., Burlington, VT 05401 2018-08-30
1760987473 Tyler Fanning Psychiatry & Neurology Uvmmv 111 Colchester Avenue, Burlington, VT 05401 2018-03-26
1356845416 Rachel Carlson Student in an Organized Health Care Education/Training Program Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 2018-03-22
1487152096 Garnet Transport Medicine, LLC Ambulance 70 S Winooski Ave Ste 255, Burlington, VT 05401 2018-01-29
1689172660 Valerie Goldberg Dietitian, Registered 163 Bayberry Circle Apt 204, Burlington, VT 05401 2018-01-25
1548774235 Emily R Day Physical Therapist 160 Flynn Avenue, Burlington, VT 05401 2017-11-17
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871119412 Krista Reincke, Psy.d., LLC Psychologist 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 2020-06-19
1346706322 Adoria Senning Psychologist 1 Main St Ste 308, Burlington, VT 05401-8480 2019-02-14
1104215243 Alexandra Mizrahi Psychologist 148 College St Ste 202c, Burlington, VT 05401-8476 2015-01-13
1437394129 Neil R Metzner Psychologist 851 Pine Street, Burlington, VT 05401-3898 2008-12-09
1710183801 Ene Piirak Psychologist 196 Battery St, Burlington, VT 05401-5287 2007-06-25
1407972334 Mary Ellen Atkins Psychologist 92 Adams Street, Burlington, VT 05401 2007-03-22
1326179078 Stephanie Joy Katzman Psychologist 101 Cambridge St Ste 230, Burlington, MA 01803-3767 2007-03-07
1902935372 William M. Butler Psychologist 125 College St, Burlington, VT 05401-8444 2007-03-03
1952442907 Valerie Ruth Padgett Psychologist 2971 Crouse Ln Ste D, Burlington, NC 27215-8446 2007-02-12
1821153594 Tim Caufield, Phd LLC Psychologist 484 N Pine St, Burlington, WI 53105-1417 2006-12-23
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Competitor

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City BURLINGTON
Zip Code 05401

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Dataset Information

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.

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