Active NPI
Andrew Mitchell Young, D.C.
- Chiropractor
- Olean, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007344368 | Other | NY | ACM |
| 000588372005 | Other | NY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Allegany Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Olean Family Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Childrens Center for Treatment and Education | Past | 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.
-
- Chiropractor
- Port Allegany, PA
- NPI 1235139015
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.
-
- Chiropractor
- Port Allegany, PA
- NPI 1972195832
-
- Chiropractor
- Olean, NY
- NPI 1730996877
-
dba Beacon Light Behavioral Health Systems
- Clinical Psychologist
- Bradford, PA
- NPI 1477626992
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.