SAMUEL ROBERT YOUNG (NPI# 1619070422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619070422 |
| Entity Type | Individual |
| Full Name | SAMUEL ROBERT YOUNG |
| Credential | PSYD LCAS |
| Practice Address |
1807 E Innes St Salisbury NC 28146-6030 |
| Mailing Address |
725 N Highland Ave Winston Salem NC 27101 |
| Practice Telephone | 7046333616 |
| Mailing Telephone | 3363977500 |
| Mailing Fax Number | 3363977501 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
866 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6111926 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639540032 | Samuel Young IIi | Counselor | 641 Ne 33rd St, Oklahoma City, OK 73105-7501 | 2015-10-12 |
| 1700178001 | Samuel Lee Young II | Pharmacist | 3725 Cascade Rd, Atlanta, GA 30331 | 2011-05-05 |
| 1316053945 | Samuel Wilfred Young | Marriage & Family Therapist | 146 Ashland Ave, Southbridge, MA 01550-3794 | 2006-08-23 |
| 1881686285 | Samuel Young | Dentist | 31538 Whitefield Ct, Murrieta, CA 92563-6216 | 2005-08-22 |
| 1306303417 | Samuel Carson Young | Behavior Technician | 46040 Center Oak Plz Ste 150, Sterling, VA 20166-6611 | 2019-02-25 |
| 1528428125 | Samuel Aaron Young | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2016-02-25 |
| 1588737894 | Samuel Young | Obstetrics & Gynecology | 1520 Stockton St, San Francisco, CA 94133-3354 | 2006-11-16 |
| 1740359298 | Samuel Young | Optometrist | 707 Bristol Pike, Croydon, PA 19021-5412 | 2006-11-07 |
| 1811003593 | Samuel Doak Young IIi | Orthopaedic Surgery | 441 Mcalister Rd, Suite 1100a, Lincolnton, NC 28092-4126 | 2006-08-22 |
| Street Address |
1807 E INNES ST |
| City | SALISBURY |
| State | NC |
| Zip Code | 28146-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134138217 | Patti Deal | Social Worker | 1807 E Innes St, Salisbury, NC 28146-6030 | 2006-08-06 |
| 1871821694 | Morgan Leigh Lavender | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2009-12-07 |
| 1447488473 | Natalie Beth Culnon | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2009-06-29 |
| 1881847069 | Leon Derrell Dilligard | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2008-10-31 |
| 1750531646 | Janette Ester Castellanos | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2008-09-26 |
| 1295985182 | Shavonne Janai Curnell | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2008-09-26 |
| 1922258813 | Chijioke Chinenye Chinaka | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2008-09-26 |
| 1710135884 | Deanna Danielle Glennon | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2008-09-03 |
| 1639334535 | Julia Elizabeth Clodfelter | Counselor | 1807 E Innes St, Salisbury, NC 28146-6030 | 2008-07-21 |
| 1487814869 | Daymark Recovery Services Inc | Community/Behavioral Health | 1807 E Innes St, Salisbury, NC 28146-6030 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071551 | Rita Faye George | Technician | 306 Brookfield Circle, Salisbury, NC 28146 | 2019-09-09 |
| 1417166224 | Tina Wyatt | Counselor | 1121 Old Concord Rd Ste 23, Salisbury, NC 28146 | 2007-05-21 |
| 1730230889 | Alan Ray Lyerly | Dentist | 5980 Us Hwy# 52, Salisbury, NC 28146 | 2007-01-16 |
| 1740331800 | Matthew Scott Lyerly | Dentist | 5980 Us Hwy. # 52, Salisbury, NC 28146 | 2007-01-16 |
| 1376624403 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 223 Faith Road, Space I, Salisbury, NC 28146 | 2006-10-17 |
| 1811473028 | Heather Marie Amaral | Nurse Practitioner | 111 S Salisbury Gq Ave, Salisbury, NC 28146 | 2018-07-11 |
| 1417182114 | Norman Deon Hough | Registered Nurse | 6770 Faith Rd, Salisbury, NC 28146-0379 | 2009-05-25 |
| 1770911893 | Travis Alligood | Massage Therapist | 2125 Old Concord Rd, Salisbury, NC 28146-1328 | 2013-10-29 |
| 1013055458 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-02-01 |
| 1669698197 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-04-17 |
| Find all providers in zip 28146 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803038 | Ellis Butler, Ph.d., LLC | Counselor | 507 W Innes St Ste 270, Salisbury, NC 28144-4265 | 2020-08-26 |
| 1639716103 | Stefanie Danita White | Counselor | 1504 Jake Alexander Blvd W, Salisbury, NC 28147-1213 | 2019-12-04 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1134683238 | Amelia Carmel Hasty-rhodes | Counselor | 303 Saint Johns Dr, Salisbury, NC 28144-9014 | 2019-01-23 |
| 1588142350 | Tabitha Payne | Counselor | 540 Riverside Dr Ste 7, Salisbury, MD 21801-5352 | 2018-08-02 |
| 1881181774 | Aushae Deshields | Counselor | 8182 Brown Rd, Salisbury, MD 21804-2206 | 2018-04-17 |
| 1275038945 | Lisa L Eimer | Counselor | 1980 Earnhardt Rd, Salisbury, NC 28146-2277 | 2018-03-26 |
| 1669970331 | Youth Care Center Incorporated | Counselor | 1504 S Salisbury Blvd Ste 22, Salisbury, MD 21801-7165 | 2018-01-29 |
| 1356875256 | Judith Arnold | Counselor | 130 E Main St Fl 3, Salisbury, MD 21801-5036 | 2017-04-18 |
| Find all providers in SALISBURY | ||||
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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.