Deshiree Young

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

12097 Gayton Rd
Henrico, VA 23238-3401

Phone

(804) 332-6102

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1073128880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 AVALON HEIGHTS RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232371717",
            "telephone_number": "402-616-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12097 GAYTON RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383401",
            "telephone_number": "804-332-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DESHIREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesmerize U Wright, CLMT, CLT
• Diem N Wu, M.D.
• Wyndell H Merritt MD PC
• Eugene N Yemofio
• Sung Hwan Yoon, DDS
• Matthew Thomas Young, MD
• Robert Anthony Young III, N.P.
• Your Best Life Medical Eclinic, PLLC
• Youth and Family Dynamics Day Treatment Support,LLC
• Youth and Family Dynamics in-Home Services,LLC

• Community/Behavioral Health Agency in Henrico, VA
• Providers in Henrico, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.