Organization Active NPI

Jordan T. Young, NP in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Homer, NY
National Provider Identifier
1275497372
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JORDAN T. YOUNG, NP IN PSYCHIATRY, PLLC
Practice address
70 N West St
Homer, NY 13077-1033
Phone
(607) 345-0824
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Jordan Taylor Young, PMHNP-BCNPI 1003677899
Title
Pmhnp
Phone
(607) 345-0824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

70 N West St
Homer, NY 13077-1033

Mailing address

PO Box 353
Homer, NY 13077-0353
Phone (607) 345-0824

National Provider Directory

National Provider Directory

Locations

70 N West St
Homer, NY 13077
Phone (315) 225-0976

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.

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1275497372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130770353",
            "telephone_number": "607-345-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771033",
            "telephone_number": "607-345-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN T. YOUNG, NP IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "607-345-0824",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.