Heather L Young, CASAC-T

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

141536222 Issued in NY

Practice address

159 Glenwood Dr
Saranac Lake, NY 12983-2385

Phone

(518) 891-3950

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By 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 names 1

• Heather L Sova Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1245960020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 COUNTY ROUTE 49",
            "city": "WINTHROP",
            "state": "NY",
            "postal_code": "136973155",
            "telephone_number": "315-664-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 GLENWOOD DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832385",
            "telephone_number": "518-891-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "CASAC-T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "141536222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsienkiewycz@stjoestreatment.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "159 Glenwood Dr",
            "city": "Saranac Lake",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129832385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SOVA",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Duncan Forbes Winter, M.D., F.A.C.S.
• Meghan Mitchell Wolter, RN
• Kelly Wright, RN
• Joletta Yates, RN
• Carolyn Elizabeth Yelle, CIT
• Daniel Zakhary, M.D., PH.D.
• Deborah L Zale, PA

• Substance Abuse Rehabilitation Facility in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.