Organization Active NPI

Paul C. Young MD, PLLC

  • Psychiatry Physician
  • Baytown, TX
National Provider Identifier
1376303636
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PAUL C. YOUNG MD, PLLC
Practice address
1600 James Bowie Dr Ste C106
Baytown, TX 77520-3356
Phone
(281) 427-0222
Fax
(281) 422-0702
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Cheri Smith
Title
Office Manager
Phone
(281) 427-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1600 James Bowie Dr Ste C106
Baytown, TX 77520-3356

Mailing address

1600 James Bowie Dr Ste C106
Baytown, TX 77520-3356
Phone (281) 427-0222

Other names 1

  • PAUL C. YOUNG MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322001131 TX Part B Supplier - Clinic/Group Practice 7214374545 Receives reassigned benefits from 1 practitioner
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Locations

1600 James Bowie Dr
Ste C106
Baytown, TX 77520
Phone (281) 425-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1376303636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JAMES BOWIE DR STE C106",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203356",
            "telephone_number": "281-427-0222",
            "fax_number": "281-422-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JAMES BOWIE DR STE C106",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203356",
            "telephone_number": "281-427-0222",
            "fax_number": "281-422-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C. YOUNG MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-427-0222"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAUL C. YOUNG MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.