Corey Young

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

123794 Issued in CA

Practice address

1651 Response Rd Ste 111
Sacramento, CA 95815-5254

Phone

(916) 642-9522

NPI assigned

Dec 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• La Tanya Takla, Psychologist Inc

  • Clinical Psychologist
  • Modesto, CA
  • NPI 1336819564
  NPD
• Pathways to Mending Feelings Psychotherapy Training Program Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Modesto, CA
  • NPI 1881386092

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1710690284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 LORRAINE AVE STE 112",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104203",
            "telephone_number": "209-688-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 RESPONSE RD STE 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958155254",
            "telephone_number": "916-642-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "COREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "9135",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caprisha Young
• Cardell Benedict Young
• Cherelle Young
• Christina B Young, PHD
• Christine R Young, IBCLC
• Curtiss Young, CADC-CAS
• Danny F Young, PA
• Deonia Shivers Young, LCSW
• Don Young, M.D.
• Douglas Young, MD

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.