Active NPI
Suzanne Lang Younge, PHD
- Psychologist
- Portland, OR
National Provider Identifier
1700943396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1156
- Practice address
- 5441 SW Macadam Ave Ste 102
Portland, OR 97239-3821 - Phone
- (503) 449-4163
- NPI assigned
- Jan 2, 2007
- Last updated
- Feb 23, 2025
- 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 | 1156 | OR | Primary |
Addresses
Primary practice location
5441 SW Macadam Ave Ste 102
Portland, OR 97239-3821
Mailing address
1327 SE Tacoma St #174
Portland, OR 97202-6639
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740268800000",
"number": "1700943396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 SE TACOMA ST #174",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972026639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 SW MACADAM AVE STE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393821",
"telephone_number": "503-449-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGE",
"first_name": "SUZANNE",
"middle_name": "LANG",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2025-02-23",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.