Teresa Anne Young, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.07947 Issued in OH

Practice address

1520 Old Henderson Rd Ste E
Columbus, OH 43220

Phone

(614) 328-9528

Fax

(614) 591-3015

NPI assigned

Jul 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Generations Psychological and Consultation Services LLCGroup PAC ID 9739515891, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Generations Psychological and Consultation Services LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1548807704

  TN

  Medicare reassignment Care Compare group Authorized official
• St. Luke'S Methodist Hospital

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
  • NPI 1073553939
  Medicare reassignment NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Dewitt County Human Resource Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clinton, IL
  • NPI 1215160049
  NPD (past)
• Dewitt County Human Resource Center

  • Multi-Specialty Clinic/Center
  • Clinton, IL
  • NPI 1578600615
  NPD (past)
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124331699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 EBNER ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432062361",
            "telephone_number": "614-328-9528",
            "fax_number": "614-591-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OLD HENDERSON RD STE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-328-9528",
            "fax_number": "614-591-3015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 State Route 54 W",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IL",
            "postal_code": "617272148",
            "country_code": "US",
            "telephone_number": "217-935-9496 x212",
            "fax_number": "217-935-4508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1026 A Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025036",
            "country_code": "US",
            "telephone_number": "319-369-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1026 A Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025036",
            "country_code": "US",
            "telephone_number": "319-369-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TERESA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "088250",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.07947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Young, LISW
• Stacey R Young
• Steven Young, M.D.
• Sydney McKenna Young, PA
• Tayla Young
• Tina C. Baucher Young, MSOTR, OTR/L
• Tremaine E Young, D.C.
• Tyler James Young, MD
• Paige Youngdahl
• Cheyenne Younger

• Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.