Jeanne Young, PHD, a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JEANNE YOUNG, PHD, A PSYCHOLOGICAL CORPORATION

Practice address

10801 National Blvd Ste 577
Los Angeles, CA 90064-4169

Phone

(424) 248-7915

Fax

(310) 215-9865

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeanne Young, PHDNPI 1396760799

Title

President

Phone

(424) 248-7915

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Jeanne Young, PSYCHOLOGIST

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1396760799
  Medicare reassignment NPD Authorized official
• Marie C Moore, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1639211493
  NPD (past)
• Joelle Russum

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1548969397
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1023311354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 577",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644169",
            "telephone_number": "424-248-7915",
            "fax_number": "310-215-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD STE 577",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644169",
            "telephone_number": "424-248-7915",
            "fax_number": "310-215-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE YOUNG, PHD, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-248-7915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY119151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Jean-Baptiste, CPD
• Jean-Louis Le Renard, M.D. Inc.
• Jeffrey Jean
• Marie Lee Kathleen Jean
• Debra Devoe Jeandron, MD
• Jeannemarie Leone, PSYD, Clinical Psychologist, PC
• Maria Elena Jeanniton, RN
• Travis Earl Jeans
• Brieyhanna-Marie Jewel Jeanty
• Jens Nicholas Jebsen, AMFT

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.