Amy B. Young, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016397 Issued in PA

Practice address

280 N Providence Rd
Suite 106
Media, PA 19063-3527

Phone

(610) 529-1875

Fax

(610) 565-5874

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amy B. Bollenbacher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael Montie LCSW LLC

  • Clinical Social Worker
  • Media, PA
  • NPI 1730731035
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423958400000",
    "number": "1053537530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N PROVIDENCE RD",
            "address_2": "SUITE 106",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633527",
            "telephone_number": "610-529-1875",
            "fax_number": "610-565-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N PROVIDENCE RD",
            "address_2": "SUITE 106",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633527",
            "telephone_number": "610-529-1875",
            "fax_number": "610-565-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMY",
        "middle_name": "B.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016397",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC000377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BOLLENBACHER",
            "middle_name": "B.",
            "credential": "M.A., M.S., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mya Pwintshwe Yee, PHARMD
• Joannie T Yeh, MD
• Morgan Yoder
• Kim York
• Dale Lehrfeld Yorker
• Cynthia Young
• Sarah Young, PT, DPT
• Shaynae Young
• Dayna Younis, PH.D.
• Your Wellness Consultants LLC

• Psychologist in Media, PA
• Providers in Media, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2015; 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.