Individual provider Active NPI

William Sidney Young, PH.D.

  • Clinical Psychologist
  • Cedar City, UT
National Provider Identifier
1669602884
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
346225-2501 Issued in UT
Practice address
747 S Paradise Canyon Rd
Suite 2
Cedar City, UT 84720-3175
Phone
(435) 865-9119
Fax
(435) 865-9115
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 346225-2501 UT Primary

Addresses

Primary practice location

747 S Paradise Canyon Rd
Suite 2
Cedar City, UT 84720-3175

Mailing address

747 S Paradise Canyon Rd
Suite 2
Cedar City, UT 84720-3175
Phone (435) 865-9119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130315000401 UT Practitioner - Clinical Psychologist 7416192604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Psychological Counseling and Consulting PCGroup PAC ID 8022350677, 2 clinicians

Practice addresses (Care Compare)

1490 E Foremaster Dr
Suite 360
St George, UT 84790-4508
Phone (435) 216-9290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
346225-2501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health and Wellness, Inc Current Accepting new patients
Premier Psychological Counseling and Consulting PC CurrentSince Feb 9, 2009 Accepting new patients

Locations

1490 E Foremaster Dr
Ste 340
St George, UT 84790
Phone (435) 216-9290

1490 E Foremaster Dr
Ste 360
St George, UT 84790
Phone (435) 359-3115

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1669602884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 S PARADISE CANYON RD",
            "address_2": "SUITE 2",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203175",
            "telephone_number": "435-865-9119",
            "fax_number": "435-865-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S PARADISE CANYON RD",
            "address_2": "SUITE 2",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203175",
            "telephone_number": "435-865-9119",
            "fax_number": "435-865-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WILLIAM",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "346225-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.