Individual provider Active NPI

Fauve Elieth Young-Morrison, PSY.D.

  • Clinical Psychologist
  • Clarks Summit, PA
National Provider Identifier
1386083087
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017402 Issued in PA
Practice address
411 Davis St
Clarks Summit, PA 18411-1837
Phone
(570) 319-6961
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017402 PA Primary

Addresses

Primary practice location

411 Davis St
Clarks Summit, PA 18411-1837

Mailing address

411 Davis St
Clarks Summit, PA 18411-1837
Phone (570) 319-6961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS017402PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Child Psychology Clinical CurrentSince May 25, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1386083087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 DAVIS ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111837",
            "telephone_number": "570-319-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DAVIS ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111837",
            "telephone_number": "570-319-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-MORRISON",
        "first_name": "FAUVE",
        "middle_name": "ELIETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.