Active NPI
Inbar Young, PSYD
- Psychologist
- Westerville, OH
National Provider Identifier
1639232796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6290
- Practice address
- 6264 S Sunbury Rd
Ste 400
Westerville, OH 43081-2972 - Phone
- (614) 475-9500
- Fax
- (614) 475-9821
- NPI assigned
- Dec 19, 2006
- Last updated
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 6290 | OH | Primary |
Addresses
Primary practice location
6264 S Sunbury Rd
Ste 400
Westerville, OH 43081-2972
Mailing address
2 Easton Oval
Ste. 450
Columbus, OH 43219-6036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29923 | CA | MD | General Practice Dentistry |
| 6290 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1639232796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EASTON OVAL",
"address_2": "STE. 450",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6264 S SUNBURY RD",
"address_2": "STE 400",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812972",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "INBAR",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.