Individual provider Active NPI

Keely Marie Young, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1386438281
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11038572 Issued in FL
Practice address
2151 45TH St Ste 210
West Palm Beach, FL 33407-2015
Phone
(561) 285-3623
Fax
(863) 638-5637
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11038572 FL Primary

Addresses

Primary practice location

2151 45TH St Ste 210
West Palm Beach, FL 33407-2015

Mailing address

2151 45TH St Ste 210
West Palm Beach, FL 33407-2015
Phone (561) 285-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421001616 FL Practitioner - Nurse Practitioner 0042735235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Haven LLCGroup PAC ID 7911212634, 25 clinicians

Practice addresses (Care Compare)

2151 45TH St
Suite 210
West Palm Beach, FL 33407-2015
Phone (561) 285-3623

Hospital & facility affiliations

  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11038572FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Haven LLC CurrentSince Apr 2, 2025 Accepting new patients

Locations

400 N Congress Ave
Ste 203
Lake Park, FL 33403
Phone (561) 285-3623

308 NW 5th Ave
Okeechobee, FL 34972
Phone (516) 640-6937

2151 45th St
Ste 210
West Palm Beach, FL 33407
Phone (561) 285-3623

4400 N Congress Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 285-3623

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1386438281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072015",
            "telephone_number": "561-285-3623",
            "fax_number": "863-638-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072015",
            "telephone_number": "561-285-3623",
            "fax_number": "863-638-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KEELY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11038572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.