Jeffrey Young, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15577 Issued in CA

Practice address

16550 Ventura Blvd
Suite 405
Encino, CA 91436-2004

Phone

(818) 905-7121

Fax

(818) 386-9321

NPI assigned

May 18, 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780892448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15108 DEL GADO DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034436",
            "telephone_number": "818-905-7121",
            "fax_number": "818-386-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16550 VENTURA BLVD",
            "address_2": "SUITE 405",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362004",
            "telephone_number": "818-905-7121",
            "fax_number": "818-386-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soheil Sean Younai, M.D.
• Ramee Younes, M.D.
• Madison Younesi, NP
• Younessi Medical Professional Corporation
• Casper Charles Young, D.O.
• Sharon Hyang-Eun Yu
• Stephen Y Yu, D.D.S.
• Albert Yun, PA-C
• Alarick Kuan-Hau Yung, M.D.
• Kelley Elva Zabelovsky, M.A., M.F.T.

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.