Individual provider Active NPI

Jordan Taylor Young, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1003677899
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405880 Issued in NY
Practice address
315 Madison Ave RM 2000
New York, NY 10017-5416
Phone
(929) 667-7271
Fax
(929) 671-3068
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405880 NY Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 798974 NY

Addresses

Primary practice location

315 Madison Ave RM 2000
New York, NY 10017-5416

Mailing address

PO Box 353
Homer, NY 13077-0353
Phone (607) 345-0824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115001477 NY Practitioner - Nurse Practitioner 4688108434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
798974NYMDPsychiatric/Mental Health Registered Nurse
F405880NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan T. Young, NP in Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Dec 14, 2025 Accepting new patients
North Area Pediatrics, PC CurrentSince Nov 4, 2024 Accepting new patients
Empire State Psychiatric Medicine PLLC Psychiatric/Mental Health CurrentSince Jan 31, 2026 Accepting new patients

Locations

70 N West St
Homer, NY 13077
Phone (315) 225-0976

4811 Buckley Rd
Liverpool, NY 13088
Phone (315) 457-3091

315 Madison Ave
Rm 2000
New York, NY 10017
Phone (646) 661-5225

Interoperability endpoints

  • Direct secure messaging: jordanyoung@hiemail.healtheconnections.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1003677899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130770353",
            "telephone_number": "607-345-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE RM 2000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175416",
            "telephone_number": "929-667-7271",
            "fax_number": "929-671-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JORDAN",
        "middle_name": "TAYLOR",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405880",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "798974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.