Active NPI
Danielle A Young
- Clinical Psychologist
- Waco, TX
National Provider Identifier
1083118368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 37730
- Practice address
- 8401 Old McGregor Rd
Waco, TX 76712-6495 - Phone
- (254) 751-1550
- Fax
- (254) 751-9291
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 37730 | TX | Primary |
Addresses
Primary practice location
8401 Old McGregor Rd
Waco, TX 76712-6495
Mailing address
8401 Old McGregor Rd
Waco, TX 76712-6495
Phone (254) 751-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37730 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1083118368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 OLD MCGREGOR RD",
"city": "WACO",
"state": "TX",
"postal_code": "767126495",
"telephone_number": "254-751-1550",
"fax_number": "254-751-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 OLD MCGREGOR RD",
"city": "WACO",
"state": "TX",
"postal_code": "767126495",
"telephone_number": "254-751-1550",
"fax_number": "254-751-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DANIELLE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.