NPIMap

Organization Active NPI

Rob Young, PSYD, BCB

Doing business as Charlottesville Center for Cognitive Behavioral Therapy

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1487197471
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004393 Issued in VA
Legal business name
ROB YOUNG, PSYD, BCB
Doing business as
Charlottesville Center for Cognitive Behavioral Therapy
Practice address
3 Boars Head LN
Ste C-6
Charlottesville, VA 22903-4610
Phone
(434) 566-0113
Fax
(888) 772-2504
NPI assigned
Nov 23, 2016
Last updated
Nov 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Dr. Robert Young, PSYDNPI 1407155880
Title
Owner
Phone
(434) 566-0113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004974 VA
Clinical Psychologist 103TC0700X 0810004393 VA Primary

Addresses

Primary practice location

3 Boars Head LN
Ste C-6
Charlottesville, VA 22903-4610

Mailing address

3 Boars Head LN
Ste C-6
Charlottesville, VA 22903-4610
Phone (434) 566-0113

Other names 1

  • Charlottesville Center for Cognitive Behavioral Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3 Boars Head Ln
Ste C6
Charlottesville, VA 22903
Phone (434) 509-1599

Practitioners & affiliated clinicians

Practitioners 6

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": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1487197471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOARS HEAD LN",
            "address_2": "STE C-6",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034610",
            "telephone_number": "434-566-0113",
            "fax_number": "888-772-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BOARS HEAD LN",
            "address_2": "STE C-6",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034610",
            "telephone_number": "434-566-0113",
            "fax_number": "888-772-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROB YOUNG, PSYD, BCB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-566-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004974",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlottesville Center for Cognitive Behavioral Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.