Organization Active NPI

Stuart Young, PH.D. Associates P.a.

  • Psychologist
  • Neptune Beach, FL
National Provider Identifier
1548469711
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 2703 Issued in FL
Legal business name
STUART YOUNG, PH.D. ASSOCIATES P.A.
Practice address
302 3Rd St
Suite 3
Neptune Beach, FL 32266-5131
Phone
(904) 241-0666
Fax
(904) 241-0289
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Dr. Alexander Stuart Young, PH.D.
Title
Psychologist
Phone
(904) 241-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 2703 FL Primary

Addresses

Primary practice location

302 3Rd St
Suite 3
Neptune Beach, FL 32266-5131

Mailing address

302 3Rd St
Suite 3
Neptune Beach, FL 32266-5131
Phone (904) 241-0666

National Provider Directory

National Provider Directory

Locations

302 3rd St
Ste 3
Neptune Beach, FL 32266
Phone (904) 241-0666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1548469711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 3RD ST",
            "address_2": "SUITE 3",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665131",
            "telephone_number": "904-241-0666",
            "fax_number": "904-241-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 3RD ST",
            "address_2": "SUITE 3",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665131",
            "telephone_number": "904-241-0666",
            "fax_number": "904-241-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART YOUNG, PH.D. ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-241-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.