Active NPI
James R Young, MD
- Psychiatry Physician
- Roseburg, OR
National Provider Identifier
1427068758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD08426
- Practice address
- 201 Medical Loop
Suite 180
Roseburg, OR 97471 - Phone
- (541) 440-3532
- Fax
- (541) 440-3554
- NPI assigned
- Aug 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G073837 | CA | |
| Psychiatry Physician | 2084P0800X | MD08426 | OR | Primary |
Addresses
Primary practice location
201 Medical Loop
Suite 180
Roseburg, OR 97471
Mailing address
272 Medical Loop
Suite E
Roseburg, OR 97471
Phone (541) 440-3532
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G073837 | CA | MD | Psychiatry Physician |
| MD08426 | OR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1427068758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 MEDICAL LOOP",
"address_2": "SUITE E",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97471",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MEDICAL LOOP",
"address_2": "SUITE 180",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97471",
"telephone_number": "541-440-3532",
"fax_number": "541-440-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G073837",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD08426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.