DR. ALISA R YOUNG (NPI# 1528113446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528113446 |
Entity Type | Individual |
Full Name | DR. ALISA R YOUNG |
Credential | PSY.D. |
Practice Address |
1700 E Ash St Ste 203 Goldsboro NC 27530-4097 |
Practice Telephone | 9197363057 |
Practice Fax Number | 9197363058 |
Mailing Telephone | 9197363057 |
Mailing Fax Number | 9197363058 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2015-05-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3779 | NC | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-3188 | CO | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275767295 | Alisa Zinsmeyer Young | Counselor | 4242 Medical Dr Ste 6250, San Antonio, TX 78229-5705 | 2009-05-05 |
1801059548 | Alisa P. Young | Family Medicine | 1801 Briarwood Circle, Ann Arbor, MI 48108-3347 | 2008-07-02 |
Street Address |
1700 E ASH ST STE 203 |
City | GOLDSBORO |
State | NC |
Zip Code | 27530-4097 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
Find all providers in zip 27530 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225431356 | Calvin Graham | Psychologist | 501 Shelley Dr, Goldsboro, NC 27534-3251 | 2014-10-03 |
1316988959 | James T. Smith | Psychologist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2006-06-08 |
1790757698 | Teresa A Poole | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2006-02-03 |
1316938731 | Jonathan Alan Barnes | Psychologist | 301 Violeta Cir, Goldsboro, NC 27534-3245 | 2005-11-03 |
1811349699 | Astrid Ertola | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2016-07-06 |
1508213158 | Cynthia Lewis | Psychologist | 1401 W Ash St, Goldsboro, NC 27530-1078 | 2016-05-24 |
1518220185 | Cynthia Koempel | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2012-06-19 |
1508130576 | Natalie A. Kemp | Psychologist | 1214 Parkway Dr, Goldsboro, NC 27534-3448 | 2012-03-08 |
1922334416 | Jillian Fitch | Psychologist | 2719 Graves Dr Ste 7, Goldsboro, NC 27534-4536 | 2009-10-19 |
1336343664 | Teresa A. Poole, Ph.d., Pa | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2007-06-12 |
Find all providers in GOLDSBORO |
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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.