Individual provider Active NPI

Christopher Michael Young, M. D.

  • Child & Adolescent Psychiatry Physician
  • Waterbury, CT
National Provider Identifier
1154359313
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
038814 Issued in CT
Practice address
402 E Main St
Waterbury Adult Services Op
Waterbury, CT 06702
Phone
(203) 756-7287
Fax
(203) 596-0722
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 038814 CT
Child & Adolescent Psychiatry Physician 2084P0804X 038814 CT Primary

Addresses

Primary practice location

402 E Main St
Waterbury Adult Services Op
Waterbury, CT 06702

Mailing address

141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 756-7287

Other identifiers 15

IdentifierTypeStateIssuer
060669107OtherCTANTHEM BCBS OF CT WELLMORE GRP/FACILITY
060669107OtherCTUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
258645OtherCTMHN MANAGED HEALTH NETWORK
PENDING 258645OtherCTMHN TRICARENORTH
060669107OtherCTOPTUM BEHAVIORAL HEALTH-UBH WELLMORE GRP/FACILITY
5743OtherCTTHE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
D339210 WATERBURYOtherCTBEACON HEALTH STRATEGIES
008037450MedicaidCT
060669107OtherCTHEALTHYCT WELLMORE GRP/FACILITY
060669107OtherCTUBH-OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY
060669107OtherCTUBH- CONNECTICARE WELLMORE GRP/FACILITY
10450310OtherCTCAQH
CSP.0037843OtherCTCONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
2155452OtherCTCIGNA BEHAVIORAL HEALTH
7517308OtherCTAETNA BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000091 CT Practitioner - Psychiatry 5597710608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staywell Health Care Inc.Group PAC ID 6305750480, 43 clinicians

Practice addresses (Care Compare)

402 E Main St
Waterbury, CT 06702-1701
Phone (203) 755-1143

80 Phoenix Ave
Waterbury, CT 06702-1418
Phone (203) 757-5491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038814CTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Branford Psychiatry CurrentSince Nov 21, 2001 Accepting new patients
Wellmore, Inc. Current Accepting new patients
Staywell Health Care, Inc. CurrentSince Mar 9, 2020 Accepting new patients

Locations

342 Harbor St
Branford, CT 06405
Phone (203) 481-4248

141 E Main St
Fl 4
Waterbury, CT 06702
Phone 2035749000 ext. 1161

141 E Main St
Waterbury, CT 06702
Phone (203) 575-0466

1309 S Main St
Waterbury, CT 06706
Phone (203) 597-9044

80 Phoenix Ave
Ste 301
Waterbury, CT 06702

402 E Main St
Waterbury, CT 06702
Phone (203) 755-1143

80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491

1302 S Main St
Waterbury, CT 06706
Phone (203) 597-9044

141 E Main St
Fl 2
Waterbury, CT 06702
Phone (203) 723-9599

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154359313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MAIN ST",
            "address_2": "4TH FLOOR ADMINISTRATION",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022310",
            "telephone_number": "203-756-7287",
            "fax_number": "203-596-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "address_2": "WATERBURY ADULT SERVICES OP",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06702",
            "telephone_number": "203-756-7287",
            "fax_number": "203-596-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "038814",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "038814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT     WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH-UNITED HEALTHCARE   WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN MANAGED HEALTH NETWORK",
            "identifier": "258645",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN TRICARENORTH",
            "identifier": "PENDING 258645",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM BEHAVIORAL HEALTH-UBH   WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY",
            "identifier": "5743",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "D339210  WATERBURY",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008037450",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHYCT      WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH-OXFORD HEALTH LIBERTY/FREEDOM    WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH- CONNECTICARE   WELLMORE GRP/FACILITY",
            "identifier": "060669107",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10450310",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER",
            "identifier": "CSP.0037843",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2155452",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "7517308",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.