Active NPI
Jennifer Young, PSY.D.
- Psychologist
- Gardena, CA
National Provider Identifier
1003112467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 15716 S Normandie Ave Apt 5
Gardena, CA 90247-4343 - Phone
- (949) 293-3280
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
15716 S Normandie Ave Apt 5
Gardena, CA 90247-4343
Mailing address
15716 S Normandie Ave Apt 5
Gardena, CA 90247-4343
Phone (949) 293-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1003112467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15716 S NORMANDIE AVE APT 5",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474343",
"telephone_number": "949-293-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15716 S NORMANDIE AVE APT 5",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474343",
"telephone_number": "949-293-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.