Active NPI
Susan B Young, PHD
- Psychologist
- Athens, OH
National Provider Identifier
1598076150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5596
- Practice address
- 530 W Union St
Suite D
Athens, OH 45701-8303 - Phone
- (740) 249-4159
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5596 | OH | Primary |
Addresses
Primary practice location
530 W Union St
Suite D
Athens, OH 45701-8303
Mailing address
530 W Union St Ste D
Athens, OH 45701-8303
Phone (740) 249-4159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Ohio Office of Budget and Management State Accounting
Practice addresses (Care Compare)
100 Hospital Dr
Athens, OH 45701-2301
Phone (614) 752-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5596 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1598076150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 W UNION ST STE D",
"city": "ATHENS",
"state": "OH",
"postal_code": "457018303",
"telephone_number": "740-249-4159",
"fax_number": "740-249-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 W UNION ST",
"address_2": "SUITE D",
"city": "ATHENS",
"state": "OH",
"postal_code": "457018303",
"telephone_number": "740-249-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SUSAN",
"middle_name": "B",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.