Active NPI
Brian David Young, PSY.D.
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1467845370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00002585
- Practice address
- 500 5TH Ave
6W
Seattle, WA 98104-2332 - Phone
- (206) 477-6350
- NPI assigned
- Mar 17, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00002585 | WA | Primary |
Addresses
Primary practice location
500 5TH Ave
6W
Seattle, WA 98104-2332
Mailing address
500 5TH Ave
6W
Seattle, WA 98104-2332
Phone (206) 477-6350
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 |
|---|---|---|---|
| PY00002585 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1467845370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 5TH AVE",
"address_2": "6W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042332",
"telephone_number": "206-477-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 5TH AVE",
"address_2": "6W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042332",
"telephone_number": "206-477-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-17",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00002585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.