Caitlin Young

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110811 Issued in CA

Practice address

300 Ilene St
Martinez, CA 94553-2631

Phone

(925) 313-7989

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1043857964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BANBRIDGE PL",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ILENE ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532631",
            "telephone_number": "925-313-7989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Olympic Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965079",
            "country_code": "US",
            "telephone_number": "925-876-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hayeswellnes.com",
            "affiliation": "N",
            "address_1": "94 Banbridge Pl",
            "city": "Pleasant Hill",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945232536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christiana Yee
• Edwin Yee, PHARMACIST
• Gary P Yee, DDS
• Edward Yeich, CRNP, FNP
• Brian Patrick Yochim, PH.D.
• Candice Shelby Young, RN BSN PHN
• Ivy Young, PHARM.D.
• Jamie Young, PHARM.D.
• Sandy Young, LMFT
• Layla Yousify, DR

• Marriage & Family Therapist in Martinez, CA
• Providers in Martinez, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.