Individual provider Active NPI

David R. Youngelman, PSY.D.

  • Clinical Psychologist
  • Bethlehem, PA
National Provider Identifier
1154341246
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015742 Issued in PA
Practice address
35 E Elizabeth Ave Ste 113
Bethlehem, PA 18018-6502
Phone
(484) 368-9275
Fax
(570) 402-1144
NPI assigned
Jul 20, 2006
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X SI02660 NJ
Clinical Psychologist 103TC0700X PS015742 PA Primary

Addresses

Primary practice location

35 E Elizabeth Ave Ste 113
Bethlehem, PA 18018-6502

Mailing address

5211 Vermont Drive
Easton, PA 18045-8129
Phone (484) 368-9275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070504000337 PA Practitioner - Clinical Psychologist 2466558671 Practice locations: Bethlehem, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 E Elizabeth Ave
Suite 12
Bethlehem, PA 18018-6505
Phone (484) 368-9275

5211 Vermont Dr
Easton, PA 18045-8129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI02660NJMDClinical Psychologist
PS015742PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abel a. Gonzalez, MD.PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1154341246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 VERMONT DRIVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458129",
            "telephone_number": "484-368-9275",
            "fax_number": "570-402-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E ELIZABETH AVE STE 113",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186502",
            "telephone_number": "484-368-9275",
            "fax_number": "570-402-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGELMAN",
        "first_name": "DAVID",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI02660",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.