Active NPI
Carol E Young, OTR
- Occupational Therapist
- Milford, NH
National Provider Identifier
1245367424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1540
- Practice address
- 70 Boxwood Cir
Milford, NH 03055-3000 - Phone
- (603) 718-3042
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1540 | NH | Primary |
Addresses
Primary practice location
70 Boxwood Cir
Milford, NH 03055-3000
Mailing address
70 Boxwood Cir
Milford, NH 03055-3000
Phone (603) 718-3042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13606165 | Other | NH | TRICARE |
| 30411787 | Medicaid | NH | |
| 3026036 | Other | NH | AETNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1540 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1245367424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BOXWOOD CIR",
"city": "MILFORD",
"state": "NH",
"postal_code": "030553000",
"telephone_number": "603-718-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BOXWOOD CIR",
"city": "MILFORD",
"state": "NH",
"postal_code": "030553000",
"telephone_number": "603-718-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CAROL",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "13606165",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30411787",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3026036",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.