DR. VALENCIA L BAGBY-YOUNG (NPI# 1952736738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952736738 |
| Entity Type | Individual |
| Full Name | DR. VALENCIA L BAGBY-YOUNG |
| Credential | EDD PSYCHOLOGY |
| Practice Address |
41 N Main St Ste 302 West Hartford CT 06107-1929 |
| Mailing Address |
31 Burnwood Drive Bloomfield CT 06002-2264 |
| Practice Telephone | 8602367333 |
| Practice Fax Number | 2034392087 |
| Mailing Telephone | 8606046914 |
| Mailing Fax Number | 8602421811 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 003280 | CT | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
003280 | CT | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
003280 | CT | Behavioral Health & Social Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7986 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
41 N MAIN ST STE 302 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871149153 | Katherine Krevolin | Nurse Practitioner | 53 Ferncliff Dr, West Hartford, CT 06117-1013 | 2019-08-13 |
| 1639739915 | Julie Nicole Rome | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-06-18 |
| 1023533353 | Marina Creed | Nurse Practitioner | 87 Outlook Avenue, West Hartford, CT 06119-2214 | 2017-08-08 |
| 1518016799 | Judith Lynn Briggs | Nurse Practitioner | 29 Troy St, West Hartford, CT 06119-1757 | 2007-01-09 |
| 1952325813 | Kristine Sterling | Nurse Practitioner | 1030 New Britain Ave, West Hartford, CT 06110-2261 | 2006-07-26 |
| 1285269431 | Shauna Rafferty | Nurse Practitioner | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2020-03-09 |
| 1174166987 | Elizabeth Pelletier | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-10-24 |
| 1821641671 | Kaitlin Noelle Erickson | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-07-22 |
| 1538729702 | Naomi Mara Sydney | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-19 |
| 1821557026 | Stephanie Lamothe | Nurse Practitioner | 1001 Farmington Ave, West Hartford, CT 06107-2135 | 2019-03-18 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on DR. VALENCIA L BAGBY-YOUNG.
| 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.