Nancy D Young, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 11961 Issued in CA

Practice address

3505 Cadillac Ave
BLDG O, Suite 109
Costa Mesa, CA 92626-1429

Phone

(714) 432-9856

Fax

(714) 432-7075

NPI assigned

Jun 23, 2006

Last updated

Apr 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Practitioners 2

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.

• Stephenie R Champlin, MSW, LCSW

  • Clinical Social Worker
  • Costa Mesa, CA
  • NPI 1710257936
  Medicare reassignment
• Terrence Kevin Maher, LCSW

  • Clinical Social Worker
  • Orange, CA
  • NPI 1669554143
  Medicare reassignment

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.

• Pathways to Wellness, a Psychotherapy Professional Corporation

  • Clinical Psychologist
  • Costa Mesa, CA
  • NPI 1508524844
  NPD Authorized official
• Pathways to Wellness

  • Community/Behavioral Health Agency
  • Costa Mesa, CA
  • NPI 1366984213
  NPD (past) Authorized official
• Nancy D Young PHD

  dba Pathways to Wellness

  • Clinical Psychologist
  • Costa Mesa, CA
  • NPI 1104029784
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492214400000",
    "number": "1205862224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CADILLAC AVE",
            "address_2": "STE O109",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261448",
            "telephone_number": "714-732-9856",
            "fax_number": "714-432-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CADILLAC AVE",
            "address_2": "BLDG O, SUITE 109",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261429",
            "telephone_number": "714-432-9856",
            "fax_number": "714-432-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NANCY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 11961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "OPL 119610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denis J Yoshii, D.O.
• Young Kim, DDS, Inc. (Welcome Dentistry & Braces)
• Beth Anne Starr Young, BCBA
• Brittany Young, MA
• Jordyn Ellice Young
• Taylor Young
• Mahtab Yousefi, M.D.
• Yunsong Yue
• Kylee Zacharia
• Kyle Zaharia

• Clinical Psychologist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.