Active NPI
Kellie Anne Young, M.A., M.F.T.
- Marriage & Family Therapist
- Framingham, MA
National Provider Identifier
1386966224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MH 1242-MF
- Practice address
- 651 Franklin St
Framingham, MA 01702-2919 - Phone
- (508) 620-6086
- NPI assigned
- Feb 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MH 1242-MF | MA | Primary |
Addresses
Primary practice location
651 Franklin St
Framingham, MA 01702-2919
Mailing address
178 Woodland Rd
Milton, MA 02186-3644
Phone (617) 364-5573
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 1242-MF | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1386966224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 WOODLAND RD",
"city": "MILTON",
"state": "MA",
"postal_code": "021863644",
"telephone_number": "617-364-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 FRANKLIN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017022919",
"telephone_number": "508-620-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KELLIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.A., M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "MH 1242-MF",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.