Active NPI
Karen Irene Young, PHD
- Psychologist
- Sterling Heights, MI
National Provider Identifier
1063421824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301008593
- Practice address
- 5528 Metropolitan Pkwy
Sterling Heights, MI 48310-4105 - Phone
- (586) 795-3232
- Fax
- (586) 795-5540
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008593 | MI | Primary |
Addresses
Primary practice location
5528 Metropolitan Pkwy
Sterling Heights, MI 48310-4105
Mailing address
5528 Metropolitan Pkwy
Sterling Heights, MI 48310-4105
Phone (586) 795-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070619000085 | MI | Practitioner - Clinical Psychologist | 9335248251 | Practice locations: Sterling Heights, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5528 Metro Pkwy
Sterling HTS, MI 48310-4105
Phone (586) 795-3232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008593 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1063421824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 METROPOLITAN PKWY",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104105",
"telephone_number": "586-795-3232",
"fax_number": "586-795-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5528 METROPOLITAN PKWY",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104105",
"telephone_number": "586-795-3232",
"fax_number": "586-795-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KAREN",
"middle_name": "IRENE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.
- 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.