NPIMap

Organization Active NPI

Catherine Young PLLC

Doing business as Kidabilities

  • Occupational Therapist
  • Prescott, AZ
National Provider Identifier
1558528034
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3511 Issued in AZ
Legal business name
CATHERINE YOUNG PLLC
Doing business as
Kidabilities
Practice address
1045 Whipple Street
Prescott, AZ 86305-1662
Phone
(928) 777-9897
Fax
(928) 717-0019
NPI assigned
May 21, 2008
Last updated
May 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Catherine L Young, MS, OT/LNPI 1245390145
Title
Owner/Director
Phone
(928) 642-8747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3511 AZ Primary

Addresses

Primary practice location

1045 Whipple Street
Prescott, AZ 86305-1662

Mailing address

PO Box 11075
Prescott, AZ 86304-6668
Phone (928) 777-9897

Other identifiers 1

IdentifierTypeStateIssuer
336623MedicaidAZ

Other names 1

  • Kidabilities Doing business as

National Provider Directory

National Provider Directory

Locations

1045 Whipple St
Prescott, AZ 86305
Phone (928) 493-4300

208 N McCormick St
Prescott, AZ 86301

Practitioners & affiliated clinicians

Practitioners 3

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1558528034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11075",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863046668",
            "telephone_number": "928-777-9897",
            "fax_number": "928-717-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WHIPPLE STREET",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051662",
            "telephone_number": "928-777-9897",
            "fax_number": "928-717-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE YOUNG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "928-642-8747",
        "authorized_official_credential": "MS, OT/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336623",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidabilities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.