Organization Active NPI

Young Psychiatry LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1720763329
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
YOUNG PSYCHIATRY LLC
Practice address
3033 Excelsior Blvd Ste 210
Minneapolis, MN 55416-4674
Phone
(646) 295-0948
NPI assigned
Jun 20, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. Lawrence J Young Jr., MDNPI 1831357219
Title
Psychiatrist
Phone
(612) 438-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3033 Excelsior Blvd Ste 210
Minneapolis, MN 55416-4674

Mailing address

3033 Excelsior Blvd Ste 210
Minneapolis, MN 55416-4674

National Provider Directory

National Provider Directory

Locations

3033 Excelsior Blvd
Ste 210
Minneapolis, MN 55416
Phone (612) 438-3255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1720763329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD STE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD STE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164674",
            "telephone_number": "646-295-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "612-438-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.