Vivian Young, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144201 Issued in TX

Practice address

8700 Commerce Park Dr Ste 220
Houston, TX 77036-7431

Phone

(713) 636-3889

Fax

(832) 649-4403

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifespan Psychiatry and Wellness Center PLLCGroup PAC ID 6608289590, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lifespan Psychiatry and Wellness Center PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1548877541
  Medicare reassignment Care Compare group NPD
• Suremynd Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1346065067
  NPD Authorized official

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1699312926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 CHICKAMAUGA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836370",
            "telephone_number": "713-636-3889",
            "fax_number": "832-649-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367431",
            "telephone_number": "713-636-3889",
            "fax_number": "832-649-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VIVIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4063208-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya N Young, DC
• Tyler Young, MD
• Vashon Young, CST
• Veronesia Kashean Young, LCDC
• Victoria A Young, MD
• Walter Allen Young, CSFA
• Wendellynn Young, FNP-C
• Winslow Young, APRN, FNP-C
• Yatiya Kamene Young
• Aaron D Youngblood

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.

Verify at the official NPI Registry.