David Roger Young, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1035 Issued in AZ

Practice address

4801 S Lakeshore Dr
Suite 206
Tempe, AZ 85282-7155

Phone

(480) 345-7755

Fax

(480) 345-8833

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073665139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S LAKESHORE DR",
            "address_2": "SUITE 206",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827155",
            "telephone_number": "480-345-7755",
            "fax_number": "480-345-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S LAKESHORE DR",
            "address_2": "SUITE 206",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827155",
            "telephone_number": "480-345-7755",
            "fax_number": "480-345-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DAVID",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna T Yoshihara, OTR/L
• Christopher Yossi, MD
• You Are Family Primary Care LLC
• Roudi Youkhana
• Bria Young, DMD
• Jessica A Young, MS, RBT
• Kristopher Thomas Young, FNP-BC
• Lyle Young, MD
• Rocio Young, RBT
• Shawn David Young, DMD

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.