MR. CLYDE ANDREW YOUNG (NPI# 1992043632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992043632 |
| Entity Type | Individual |
| Full Name | MR. CLYDE ANDREW YOUNG |
| Practice Address |
200 W 15th St Edmond OK 73013-3607 |
| Mailing Address |
200 W 15th St Apt 148 Edmond OK 73013-3612 |
| Practice Telephone | 4059735171 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
200 W 15TH ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114352002 | Paula G Parsons | Psychologist | 1732 S Kelly Ave, Edmond, OK 73013-3630 | 2013-09-10 |
| 1750459111 | Azra Buksh | Psychologist | 2805 S Bryant Ave, Suite A, Edmond, OK 73013-6161 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645833 | Elizabeth Bley | Psychologist | 8820 Darlington Rd Nw, Calumet, OK 73014-6850 | 2020-06-29 |
| 1265976815 | Kathryn Anne Lafortune | Psychologist | 3120 S Birmingham Ave, Tulsa, OK 74105-2324 | 2016-12-15 |
| 1861857682 | Twyla Johnson | Psychologist | 1720 Ne 56th St, Oklahoma City, OK 73111-6837 | 2015-12-21 |
| 1942679626 | Jamie Richardson | Psychologist | 4424 N Parkview Ct, Stillwater, OK 74075-1679 | 2015-09-23 |
| 1144652132 | Felisa Cargile | Psychologist | 1218 Nw 83rd St, Oklahoma City, OK 73114-1514 | 2013-08-01 |
| 1164682910 | Jana S Barnes | Psychologist | 721 S George Nigh Expy, Mcalester, OK 74501-7400 | 2008-06-16 |
| 1518048529 | Roland Lavelle Palmer | Psychologist | 1090 N University Blvd, Norman, OK 73069-7620 | 2006-10-17 |
| 1982627733 | Megan Sunshine Ballew | Psychologist | 3510 S Wheeling Ave, Tulsa, OK 74105-2722 | 2006-07-25 |
| 1780659078 | Hazem Sokkar | Psychologist | 4833 S Sheridan Rd, Ste 408, Tulsa, OK 74145-5750 | 2006-02-21 |
| 1417492752 | Wellness and Therapy Services, LLC | Psychologist | 2301 W I 44 Service Rd, Suite 200, Oklahoma City, OK 73112-8729 | 2016-12-22 |
| Find all providers with the same taxonomy | ||||
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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.