Perry Jon Young, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

40981 Issued in CA

Practice address

5707 N Palm Ave
#103
Fresno, CA 93704-1843

Phone

(559) 301-9042

NPI assigned

Apr 4, 2007

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

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1750403200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N PALM AVE",
            "address_2": "#103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041843",
            "telephone_number": "559-301-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 N PALM AVE",
            "address_2": "#103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041843",
            "telephone_number": "559-301-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 W Donner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223721",
            "country_code": "US",
            "telephone_number": "559-271-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PERRY",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Cosart Young, MSGC
• Marcia Young
• Martin Charles Young Jr., M.D., M.S.
• Megann Forrest Young, MD
• Oscar Nathaniel Young, D.O.
• Quinton Tyler Young, D.O.
• Travis Alexander Young, CPO
• Trishina Yvette Young
• Vivian Josephine Young, FNP
• Younitedglobal, Inc

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, 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 Aug 13, 2020; 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.