Eric A. Youngstrom, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5634 Issued in OH

Practice address

Davie Hall
CB 3270
Chapel Hill, NC 27599-3270

Phone

(919) 962-3997

Fax

(919) 962-2537

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740344050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DAVIE HALL",
            "address_2": "CB 3270",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993270",
            "telephone_number": "919-962-3997",
            "fax_number": "919-962-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DAVIE HALL",
            "address_2": "CB 3270",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993270",
            "telephone_number": "919-962-3997",
            "fax_number": "919-962-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGSTROM",
        "first_name": "ERIC",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Daniel Young, MD
• Omar Maurice Young, MD
• Stephen L Young, MD
• Steven L Young, MD
• Valerie Lincoln Young, PHD, MFT
• Vanessa Mills Yount, RD,LDN
• William J Yount, MD
• Yousef Razavi, DDS PA
• Babak Yousefi, DDS
• Youth Development Corporation of America

• Clinical Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.