Dale Young, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6558 Issued in MA

Practice address

877 Beacon St
Boston, MA 02215-3801

Phone

(617) 536-4813

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609088921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83A BROOKSIDE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302647",
            "telephone_number": "617-522-5293",
            "fax_number": "617-522-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153801",
            "telephone_number": "617-536-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0523747",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew C Young, MD
• Ann L Young, MD
• Anne Buckingham Young, MD PHD
• Brett Chevalier Young, M.D.
• Colby Lawson Young, PA-C
• David Young, M.D.
• Emily Rae Young, PA-C
• Ewelina Anna Young, MD
• Frances M Young, CRNA
• Geoffrey S Young, MD

• Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.