Ted W Young, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

NV120 Issued in NV

Practice address

6490 S McCarran Blvd
Ste 52
Reno, NV 89509-6102

Phone

(775) 826-1244

Fax

(775) 826-7751

NPI assigned

Jun 6, 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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760685036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 SQUAW VALLEY CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095663",
            "telephone_number": "775-826-1244",
            "fax_number": "775-826-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD",
            "address_2": "STE 52",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096102",
            "telephone_number": "775-826-1244",
            "fax_number": "775-826-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "NV120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Bruce Young, MD
• Patricia Anne Young
• Perry Blake Young, DDS, OMS
• Shannon Young
• Sheila Giere Young, PH.D.
• Austin Younger
• Tammy Younger
• Briana Renee Younkin
• Muhammad Faraz Younus, MD
• Your Main Lab LLC

• Clinical Neuropsychologist in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Neuropsychologist in Nevada

• 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.