Individual provider Active NPI

Andrew Mitchell Young, D.C.

  • Chiropractor
  • Olean, NY
National Provider Identifier
1194809137
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010252 Issued in NY
Practice address
801 W State St
Olean, NY 14760-2245
Phone
(716) 372-1236
Fax
(716) 372-1915
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010252 NY Primary

Addresses

Primary practice location

801 W State St
Olean, NY 14760-2245

Mailing address

2211 W State St Ste 122
Olean, NY 14760-1951
Phone (716) 372-1236

Other practice location 1

717 E Mill St
Port Allegany, PA 16743-9743
Phone (716) 307-7904

Other identifiers 2

IdentifierTypeStateIssuer
0007344368OtherNYACM
000588372005OtherNYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111213000537 NY Practitioner - Chiropractic 0446425896 Practice locations: Olean, NY
I20120103000038 PA Practitioner - Chiropractic 0446425896 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Port Allegany, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

717 E Mill St
Port Allegany, PA 16743-9743
Phone (814) 642-7236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Port Allegany Chiropractic LLC Chiropractor CurrentSince Nov 18, 2020 Accepting new patients
Olean Family Chiropractic, PLLC Chiropractor CurrentSince Dec 15, 2024 Accepting new patients
Childrens Center for Treatment and Education PastSince Nov 18, 2020 Accepting new patients

Locations

2211 W State St
Ste 122
Olean, NY 14760
Phone (716) 372-1236

717 E Mill St
Port Allegany, PA 16743
Phone (814) 642-7236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1194809137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W STATE ST STE 122",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601951",
            "telephone_number": "716-372-1236",
            "fax_number": "716-372-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602245",
            "telephone_number": "716-372-1236",
            "fax_number": "716-372-1915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 E Mill St",
            "address_purpose": "LOCATION",
            "city": "Port Allegany",
            "state": "PA",
            "postal_code": "167439743",
            "country_code": "US",
            "telephone_number": "716-307-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDREW",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "0007344368",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000588372005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.