Erica Antionette Young

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Practice address

9300 S Indiana Ave
Oklahoma City, OK 73159-7122

Phone

(405) 406-3441

NPI assigned

Jun 7, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1295096022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 S INDIANA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597122",
            "telephone_number": "405-406-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 S INDIANA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597122",
            "telephone_number": "405-406-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ERICA",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Denise Young, ARNP
• Derrick Wayne Young, PHARM.D.
• Diana Lynn Young
• Edith Ann Young, MA CCC SLP
• Emily Young, RD
• Gary Patrick Young, O.D.
• George Young Sr.
• Grant Thomas Young, APRN-CNP
• Howard Victor Young, DPH
• Jacob Ryan Young

• Rehabilitation Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Rehabilitation Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.