Individual provider Active NPI

Errol Archibald Young, M.A. OTR/L

  • Specialist
  • Warwick, NY
National Provider Identifier
1043376197
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
005332-1 Issued in NY
Practice address
246 Brady Rd
Warwick, NY 10990-3903
Phone
(917) 213-8455
NPI assigned
Dec 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 005332-1 NY Primary

Addresses

Primary practice location

246 Brady Rd
Warwick, NY 10990-3903

Mailing address

PO Box 310718
Jamaica, NY 11431-0718
Phone (917) 213-8455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201211002611 NY Practitioner - Occupational Therapist in Private Practice 3678985892 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring SLP Psychology OT and Nutrition Services PLLCGroup PAC ID 5395099311, 13 clinicians

Practice addresses (Care Compare)

17 N Plank Rd
Suite 10
Newburgh, NY 12550-2111
Phone (845) 800-9305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Complete SLP, OT, PT & Psychology Services, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC CurrentSince Sep 19, 2025 Accepting new patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Nov 1, 2021 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Aug 1, 2020 Accepting new patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Eayoung OT Innovations PC CurrentSince Nov 1, 2020 Accepting new patients

Locations

100 Enterprise Dr
Ste 301
Rockaway, NJ 07866
Phone (845) 800-9305

63 New Main St
Ste 1
Haverstraw, NY 10927
Phone (845) 290-9131

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

Organizations & group practices 6

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": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1043376197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310718",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114310718",
            "telephone_number": "917-213-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 BRADY RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903903",
            "telephone_number": "917-213-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ERROL",
        "middle_name": "ARCHIBALD",
        "name_prefix": "Mr.",
        "credential": "M.A. OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "005332-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.