Active NPI
John William Young Jr., PSY.D.
- Forensic Psychologist
- Bridgewater, MA
National Provider Identifier
1396179818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 10402
- Practice address
- 20 Administration Road
Bridgewater State Hospital- Forensic Services
Bridgewater, MA 02034 - Phone
- (508) 279-4500
- NPI assigned
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 10402 | MA | Primary |
Addresses
Primary practice location
20 Administration Road
Bridgewater State Hospital- Forensic Services
Bridgewater, MA 02034
Mailing address
20 Administration Road
Bridgewater State Hospital- Forensic Services
Bridgewater, MA 02034
Phone (508) 279-4500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10402 | MA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1396179818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ADMINISTRATION ROAD",
"address_2": "BRIDGEWATER STATE HOSPITAL- FORENSIC SERVICES",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "02034",
"telephone_number": "508-279-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ADMINISTRATION ROAD",
"address_2": "BRIDGEWATER STATE HOSPITAL- FORENSIC SERVICES",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "02034",
"telephone_number": "508-279-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "10402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.