JENNIFER K. YOUNGSTROM


Address: 2525 E 22nd St, Cleveland, OH 44115-3202
Phone: 2166965800

JENNIFER K. YOUNGSTROM (NPI# 1487604765) 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) 1487604765
Entity Type Individual
Full Name JENNIFER K. YOUNGSTROM
Credential PH.D
Practice Address 2525 E 22nd St
Cleveland
OH 44115-3202
Practice Telephone 2166965800
Practice Fax Number 2166966592
Mailing Telephone 2166965800
Mailing Fax Number 2166966592
Enumeration Date 2006-05-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
5511 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM BLUE CROSS PIN 000000210278 01

Office Location

Street Address 2525 E 22ND ST
City CLEVELAND
State OH
Zip Code 44115-3202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841806973 Ashleigh Putney Behavioral Analyst 2525 E 22nd St, Cleveland, OH 44115-3202 2020-09-23
1891301537 Nicole Beasley Behavioral Analyst 2525 E 22nd St, Cleveland, OH 44115-3202 2020-09-18
1437765187 Christopher Lloyd Harrington Behavioral Analyst 2525 E 22nd St, Cleveland, OH 44115-3202 2020-09-18
1598375602 Megan Zawilinski Case Manager/Care Coordinator 2525 E 22nd St, Cleveland, OH 44115-3202 2020-08-04
1538780119 Alex Cordaro Case Manager/Care Coordinator 2525 E 22nd St, Cleveland, OH 44115-3202 2020-05-05
1124649041 Samantha Billittier Case Manager/Care Coordinator 2525 E 22nd St, Cleveland, OH 44115-3202 2020-05-01
1790306793 Patrick Frazier Case Manager/Care Coordinator 2525 E 22nd St, Cleveland, OH 44115-3202 2020-04-30
1811518285 Aaron Lynch Case Manager/Care Coordinator 2525 E 22nd St, Cleveland, OH 44115-3202 2020-04-27
1366062937 Holly Sobeck Case Manager/Care Coordinator 2525 E 22nd St, Cleveland, OH 44115-3202 2020-04-23
1649890203 Morgan Graham Case Manager/Care Coordinator 2525 E 22nd St, Cleveland, OH 44115-3202 2020-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972117299 Ann Marie Louise Melinz Counselor 2525 West 22nd Street, Cleveland, OH 44115 2020-09-03
1881231850 Steven Kelly Case Management 3500 Carnegie Ave., Cleveland, OH 44115 2019-12-09
1649821422 Larry Hollimon Technician 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 2019-09-24
1306332408 Tyler Milam Counselor 2334 Prospect Ave., 400, Cleveland, OH 44115 2018-07-02
1780108019 Victoria Charles Registered Nurse 2500 E. 22nd St, Cleveland, OH 44115 2017-07-28
1528580511 Randol Jamel Kennedy Internal Medicine 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 2017-07-11
1508393422 Gang Anthony Lu Dentist 1110 Euclid Ave Ste 202, Cleveland, OH 44115 2017-05-23
1093116501 Megan Shiles Psychologist 2675 East 30th St., Cleveland, OH 44115 2014-09-16
1003224577 Efewongbe Benedicta Oleghe Internal Medicine 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 2014-07-29
1982032074 Andrew Winchester Social Worker 2500 Carnegie Ave, Cleveland, OH 44115 2013-10-29
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568852390 Cleveland Arts & Social Sciences Academy Psychologist 10701 Shaker Blvd, Cleveland, OH 44104 2015-02-02
1992316400 Emilee Carmen Valler Gorfien Psychologist 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2020-08-10
1770017139 Maribeth Wicoff Psychologist 2500 Metrohealth Drive, Cleveland, OH 44109-1998 2017-04-12
1265845150 Natale N Hilaael-badillo Psychologist 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2014-06-09
1073806139 Katherine Lamparyk Psychologist 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 2011-05-24
1104125186 Sarah Cain Spannagel Psychologist 10524 Euclid Ave, Cleveland, OH 44106-2205 2011-03-16
1053547679 Brandi M Jones Psychologist 2500 Metrohealth Drive, Cleveland, OH 44109-1998 2009-06-10
1922254986 Jessica Elaine Emick Psychologist 14538 Grapeland Ave, Cleveland, OH 44111-2107 2008-08-11
1457548125 Rebecca A Hazen Psychologist 11100 Euclid Avenue, Cleveland, OH 44106 2007-09-26
1750572798 Kathrine L Josie Psychologist 11100 Euclid Avenue, Cleveland, OH 44106 2007-08-06
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Competitor

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City CLEVELAND
Zip Code 44115

Improve Information

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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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