Robert Young, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004393 Issued in VA

Practice address

901 Preston Ave Ste 201
Charlottesville, VA 22903-4491

Phone

(434) 509-1599

Fax

(888) 285-8095

NPI assigned

Mar 24, 2011

Last updated

Mar 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richmond Center for Cognitive Behavioral Therapy

  • Clinical Psychologist
  • Charlottesville, VA
  • NPI 1215798293
  NPD Authorized official
• Rob Young, PSYD, BCB

  dba Charlottesville Center for Cognitive Behavioral Therapy

  • Clinical Psychologist
  • Charlottesville, VA
  • NPI 1487197471
  NPD (past) Authorized official

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1407155880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "FREE UNION",
            "state": "VA",
            "postal_code": "229400307",
            "telephone_number": "434-509-1599",
            "fax_number": "888-285-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRESTON AVE STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034491",
            "telephone_number": "434-509-1599",
            "fax_number": "888-285-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn G Young, MD
• Laura Young, LCSW
• Mark C Young, DDS
• Meaghan Renee Young, AG-ACNP
• Nathan Mark Young, M.A., L.P.C.
• Sara Young, MD
• Shiu May Young, MD
• Steven David Young
• Deborah Anne Younger, M.D.
• Sarah Yount

• Clinical Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.