Mirella Young PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MIRELLA YOUNG PSYD LLC

Practice address

175 Dwight Rd Ste 303-B
Longmeadow, MA 01106-1576

Phone

(413) 345-2588

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mirella Young, PSY.D.NPI 1457842312

Title

Licensed Clinical Psychologist

Phone

(413) 345-2588

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirella Young, PSY.D.

  • Clinical Psychologist
  • Longmeadow, MA
  • NPI 1457842312
  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1013619709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560161",
            "telephone_number": "413-345-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DWIGHT RD STE 303-B",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061576",
            "telephone_number": "413-345-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRELLA YOUNG PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MIRELLA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "413-345-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Stephen Meyer
• Charlotte Lois Meyer, MSW,ACSW
• Shavon Meyers
• Isabella Miller
• Erica Fay Milner
• Christine Ann Mirot, MSW
• Brian Vincent Modica Jr.
• Jonathan R Moldover, M.D.
• Lucy Ann Morrison
• Ivanna Moshkovskiy

• Clinical Psychologist in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.