Clifford Armando Young, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC1867 Issued in ME

Practice address

1 Fernald Point Rd
Southwest Harbor, ME 04679-4614

Phone

(207) 244-4012

Fax

(207) 244-4013

NPI assigned

Nov 20, 2009

Last updated

Nov 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acadia Family Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Southwest Harbor, ME
  • NPI 1114144813
  NPD (past)

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1093043515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "address_2": "1 FERNALD POINT ROAD",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046790807",
            "telephone_number": "207-244-4012",
            "fax_number": "207-244-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FERNALD POINT RD",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046794614",
            "telephone_number": "207-244-4012",
            "fax_number": "207-244-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CLIFFORD",
        "middle_name": "ARMANDO",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC1867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel O Thomsen, LMSW-CC
• John L Urbanek, D.O.
• Courtney Vashro, LMT
• John Brian White, OT
• Peter H Witham, MD

• Addiction (Substance Use Disorder) Counselor in Southwest Harbor, ME
• Providers in Southwest Harbor, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.