Active NPI
Elizabeth A Young, PSY.D.
- Clinical Psychologist
- Rochester, NY
National Provider Identifier
1477520492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015724-1
- Practice address
- 900 Westfall Rd
Suite D
Rochester, NY 14618-2635 - Phone
- (585) 703-1352
- Fax
- (585) 241-3730
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 015724-1 | NY | Primary |
Addresses
Primary practice location
900 Westfall Rd
Suite D
Rochester, NY 14618-2635
Mailing address
900 Westfall Rd
Suite D
Rochester, NY 14618-2635
Phone (585) 703-1352
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140080FC | Other | NY | PREFERRED CARE HEALTH INS |
| 7542585 | Other | NY | AETNA HEALTH INS. |
| PO10015724 | Other | NY | EXCELLUS/BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015724-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1477520492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WESTFALL RD",
"address_2": "SUITE D",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182635",
"telephone_number": "585-703-1352",
"fax_number": "585-241-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WESTFALL RD",
"address_2": "SUITE D",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182635",
"telephone_number": "585-703-1352",
"fax_number": "585-241-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015724-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE HEALTH INS",
"identifier": "140080FC",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH INS.",
"identifier": "7542585",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS/BLUE CROSS",
"identifier": "PO10015724",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.