Stephanie Young, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32569 Issued in CA

Practice address

2827 Concord Blvd
Concord, CA 94519-2608

Phone

(925) 685-9670

Fax

(925) 685-1528

NPI assigned

Aug 13, 2013

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

Other names 1

• Dr. Stephanie Young Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Step Forward

  • Community/Behavioral Health Agency
  • Concord, CA
  • NPI 1922203165
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1285067207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192608",
            "telephone_number": "925-685-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 CONCORD BLVD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192608",
            "telephone_number": "925-685-9670",
            "fax_number": "925-685-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3529 Sacramento St Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181869",
            "country_code": "US",
            "telephone_number": "415-562-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF PSYCHOLOGY LICENSE",
            "identifier": "32569",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syoung@atepforwardinc.com",
            "affiliation": "N",
            "address_1": "2827 Concord Blvd",
            "city": "Concord",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945192608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "YOUNG",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lindsay Young
• Melissa A Young
• Michael Patrick Joseph Young
• Shakiah Keithan Young
• Shannon Young
• Tenisha Young
• William Young
• Lea Youngkamp
• Emilie Youngs
• Kathy Youngson

• Clinical Psychologist in Concord, CA
• Providers in Concord, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.