Active NPI
John Young
- Clinical Psychologist
- Oxford, MS
National Provider Identifier
1225324163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 50-882
- Practice address
- 101 Ricky D Britt Sr Blvd
Suite 1-B
Oxford, MS 38655-9103 - Phone
- (662) 380-5031
- NPI assigned
- Jun 20, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 50-882 | MS | Primary |
Addresses
Primary practice location
101 Ricky D Britt Sr Blvd
Suite 1-B
Oxford, MS 38655-9103
Mailing address
101 Ricky D Britt Sr Blvd
Suite 1-B
Oxford, MS 38655-9103
Phone (662) 380-5031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1225324163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RICKY D BRITT SR BLVD",
"address_2": "SUITE 1-B",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559103",
"telephone_number": "662-380-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RICKY D BRITT SR BLVD",
"address_2": "SUITE 1-B",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559103",
"telephone_number": "662-380-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "50-882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.