Organization Active NPI

Shena Young, Psychology Corporation

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1124542931
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHENA YOUNG, PSYCHOLOGY CORPORATION
Practice address
404 E 1St St # 1191
Long Beach, CA 90802-4903
Phone
(424) 326-3774
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Dr. Shena Young, PSYDNPI 1386168136
Title
Licensed Psychologist
Phone
(424) 326-3774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

404 E 1St St # 1191
Long Beach, CA 90802-4903

Mailing address

404 E 1St St # 1191
Long Beach, CA 90802-4903

Other names 1

  • Embodied Truth Healing & Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

404 E 1st St
Long Beach, CA 90802
Phone (310) 759-9799

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1124542931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 1ST ST # 1191",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 1ST ST # 1191",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024903",
            "telephone_number": "424-326-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENA YOUNG, PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHENA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "424-326-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embodied Truth Healing & Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.