William R Young, LICENSED PSYCHOLOGIS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS003513L Issued in PA

Practice address

150 W Dubois Ave
Suite H
Du Bois, PA 15801-3000

Phone

(814) 371-0794

Fax

(814) 371-6733

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1033217815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W DUBOIS AVE",
            "address_2": "SUITE H",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013000",
            "telephone_number": "814-371-0794",
            "fax_number": "814-371-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W DUBOIS AVE",
            "address_2": "SUITE H",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013000",
            "telephone_number": "814-371-0794",
            "fax_number": "814-371-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "LICENSED PSYCHOLOGIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003513L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "348937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "603171",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Yebernetsky, CRNP
• Julie Yenzi
• Mandy Lynn Yoder, B. A.
• Alexander Joseph Young, M.D.
• Susan Louise Young, R. N.
• Amy Lynn Yutzey, PHARMD
• Rebecca Zeigler, PA-C
• Joseph Paul Zeitler Jr., DMD
• Aaron K Zettle, B.A
• Richard G. Ziegler, MSN

• Psychologist in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.