Individual provider Active NPI

Patrick G Young, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1508082652
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G1593 Issued in TX
Practice address
8111 Lyndon B Johnson Fwy
Dallas, TX 75251-1313
Phone
(214) 366-9407
Fax
(214) 366-9417
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X G1593 TX
Child & Adolescent Psychiatry Physician 2084P0804X G1593 TX
Psychiatry Physician 2084P0800X G1593 TX Primary

Addresses

Primary practice location

8111 Lyndon B Johnson Fwy
Dallas, TX 75251-1313

Mailing address

1126 Turner Ave
Dallas, TX 75208-3742
Phone (214) 924-8551

Other practice location 1

8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (214) 924-8551

Other identifiers 1

IdentifierTypeStateIssuer
1226920MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000347 TX Practitioner - Psychiatry 8426116120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abilene Regional MHMR CenterGroup PAC ID 9537117197, 12 clinicians

Practice addresses (Care Compare)

2616 S Clack St
Abilene, TX 79606-1557

2626 S Clack St
Abilene, TX 79606-1557
Phone (325) 690-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G1593TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Regional MHMR Center CurrentSince May 28, 2013 Accepting new patients
Adapt of Texas, Inc. Past Accepting new patients
Pecan Valley MHMR Region Past Accepting new patients
Pecan Valley MHMR Region Psychiatry Past Accepting new patients

Locations

2626 S Clack St
Abilene, TX 79606
Phone (325) 690-5100

2616 S Clack St
Abilene, TX 79606
Phone (325) 690-5100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1508082652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 TURNER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752083742",
            "telephone_number": "214-924-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "214-366-9407",
            "fax_number": "214-366-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "214-924-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PATRICK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "TX",
            "license": "G1593",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "G1593",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G1593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1226920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.