Susan A Young, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC011111 Issued in PA

Practice address

180 Grand Ave
Suite 300
Oakland, CA 94612-3741

Phone

(510) 835-2131

Fax

(510) 444-2340

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Y Reid Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1750511085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GRAND AVE",
            "address_2": "SUITE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123741",
            "telephone_number": "510-835-2131",
            "fax_number": "510-444-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GRAND AVE",
            "address_2": "SUITE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123741",
            "telephone_number": "510-835-2131",
            "fax_number": "510-444-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "REID",
            "middle_name": "Y",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Polly T Young, MD
• Roxxanne Aliah Young
• Samania Young
• Scott S Young, M.D.
• Steven R Young, BCO BOARD CERTIFIED
• Shana Youngblood, PHARM D
• Sonja Yount Seckinger, LMFT, LPCC
• Your Therapy Now Psychology Services a Professional Corporation (Your Therapy Now)
• Jessica Rachael Youseffi, LMFT
• Brittany Lee Youssef

• Occupational Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.