Active NPI
Berit Tinkham Young, R.D.
- Registered Dietitian
- Rochester, NY
National Provider Identifier
1659742526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008453
- Practice address
- 34 Goodman St S
Apt. 210
Rochester, NY 14607-2026 - Phone
- (585) 217-1787
- NPI assigned
- Oct 16, 2015
- Last updated
- Oct 16, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008453 | NY | Primary |
Addresses
Primary practice location
34 Goodman St S
Apt. 210
Rochester, NY 14607-2026
Mailing address
34 Goodman St S
Apt. 210
Rochester, NY 14607-2026
Phone (585) 217-1787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kendra Penski Licensed Clinical Social Worker Inc | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Freedom Within Therapy and Wellness Center
- Clinical Social Worker
- San Diego, CA
- NPI 1548700891
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1659742526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 GOODMAN ST S",
"address_2": "APT. 210",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072026",
"telephone_number": "585-217-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 GOODMAN ST S",
"address_2": "APT. 210",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072026",
"telephone_number": "585-217-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BERIT",
"middle_name": "TINKHAM",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
- Young Women's Christian Association of Rochester and Monroe County (YWCA of Rochester and Monroe County)
- Heather L Young- Reed, LPN
- Anna Michelson Young, LCSW
- Ashley Nicole Young
- Audie Young, PHARMD
- Bradley Scott Young, RN
- Brandy Marie Young, NP
- Brianna Young
- Brianne Young, DPT
- Calvin J. Young, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.