NPIMap

Organization Active NPI

Melanie K Young, PSYD, Inc

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1437582749
Registry record updated Aug 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2053 Issued in CO
Legal business name
MELANIE K YOUNG, PSYD, INC
Practice address
2501 Walnut St
Suite 208
Boulder, CO 80302-5751
Phone
(303) 444-5330
NPI assigned
Aug 10, 2013
Last updated
Aug 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2013

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

Authorized official

Name
Dr. Melanie Young, PSYDNPI 1306963277
Title
Clincial Psychologist/President
Phone
(303) 444-5330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2053 CO Primary

Addresses

Primary practice location

2501 Walnut St
Suite 208
Boulder, CO 80302-5751

Mailing address

2501 Walnut St
Suite 208
Boulder, CO 80302-5751
Phone (303) 444-5330

National Provider Directory

National Provider Directory

Locations

2501 Walnut St
Ste 208
Boulder, CO 80302
Phone (303) 444-5330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376092800000",
    "number": "1437582749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST",
            "address_2": "SUITE 208",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025751",
            "telephone_number": "303-444-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST",
            "address_2": "SUITE 208",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025751",
            "telephone_number": "303-444-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE K YOUNG, PSYD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-10",
        "last_updated": "2013-08-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CLINCIAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "303-444-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.