Individual provider Active NPI

Richard E Young, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1417371881
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP123210 Issued in TX
Practice address
8410 Chickamauga LN
Houston, TX 77083-6370
Phone
(281) 903-7502
NPI assigned
Feb 5, 2014
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP123210 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP123210 TX Primary

Addresses

Primary practice location

8410 Chickamauga LN
Houston, TX 77083-6370

Mailing address

8410 Chickamauga LN
Houston, TX 77083-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171027000369 TX Practitioner - Nurse Practitioner 0840226874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texana CenterGroup PAC ID 7618963265, 23 clinicians
Lifespan Psychiatry and Wellness Center PLLCGroup PAC ID 6608289590, 2 clinicians

Practice addresses (Care Compare)

4910 Airport Ave
Suite D
Rosenberg, TX 77471-5759
Phone (281) 239-1300

8700 Commerce Park Dr
Suite 220
Houston, TX 77036-7431
Phone (713) 636-3889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP123210TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cye Ga LLC CurrentSince Mar 1, 2021 Accepting new patients
Lifespan Psychiatry and Wellness Center PLLC Family CurrentSince Oct 7, 2020 Accepting new patients
Allied RX Inc CurrentSince Oct 20, 2024 Accepting new patients
Texana Center CurrentSince Jun 15, 2020 Accepting new patients
Tmo Medical and Rehab PastSince Mar 1, 2021 Accepting new patients

Locations

400 Avenue F
Bay City, TX 77414
Phone (979) 245-9231

539 FM 359 Rd S
Brookshire, TX 77423

1460 Walnut St
Columbus, TX 78934
Phone (979) 732-6204

2626 S Loop W
Ste 435
Houston, TX 77054
Phone (281) 936-0047

8700 Commerce Park Dr
Ste 220
Houston, TX 77036
Phone (713) 272-8699

4910 Airport Ave
Ste A
Rosenberg, TX 77471
Phone (281) 239-1300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

1201 Creek Way Dr
Ste C
Sugar Land, TX 77478
Phone (281) 302-6636

2535 Cordes Dr
Sugar Land, TX 77479
Phone (281) 276-4400

3007 N Richmond Rd
Wharton, TX 77488
Phone (409) 732-2356

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1417371881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 CHICKAMAUGA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 CHICKAMAUGA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836370",
            "telephone_number": "281-903-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-05",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123210",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP123210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.