Bozana N/a Young, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002555 Issued in VA

Practice address

820 University City Blvd # 1
Blacksburg, VA 24060-2708

Phone

(540) 961-2380

Fax

(540) 961-3408

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Family and Psychological Services, Inc.

  • Mental Health Counselor
  • Blacksburg, VA
  • NPI 1194887174
  Medicare reassignment NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508975103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 UNIVERSITY CITY BLVD # 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602708",
            "telephone_number": "540-961-2380",
            "fax_number": "540-961-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 UNIVERSITY CITY BLVD # 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602708",
            "telephone_number": "540-961-2380",
            "fax_number": "540-961-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BOZANA",
        "middle_name": "N/A",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huan Yang
• Ying and Yang Psychiatry
• Matthew Gregory Yost
• Young Men'S Christian Association at VA Polytechnic Inst. & State Uni.
• Carrie Frances Young-Guard
• Robert J Young, MD
• Alia Zaro, LPC
• Zen Kat, LLC
• Chao Yi Zhang, DDS
• Neil Zhao

• Clinical Psychologist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.