Individual provider Active NPI

Jelyn Bernardo Young, PH.D.

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1780970780
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY61677808 Issued in WA
Practice address
8431 N Susan CT
Spokane, WA 99208-9664
Phone
(727) 351-3856
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Psychologist 103TC0700X PY61677808 WA Primary
Clinical Psychologist 103TC0700X PY10002 FL

Addresses

Primary practice location

8431 N Susan CT
Spokane, WA 99208-9664

Mailing address

8431 N Susan CT
Spokane, WA 99208-9664
Phone (727) 351-3856

Other practice location 1

17734 Hunting Bow Cir Ste 101
Lutz, FL 33558-5383
Phone (619) 920-4629

Other practice location 2

1161 3rd Ave
Chula Vista, CA 91911-3136
Phone (619) 498-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813000443 FL Practitioner - Clinical Psychologist 3072011584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Lake Worth, FL 33461
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY10002FLMDClinical Psychologist
PY61677808WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Integrative Psychology, LLC Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 6, 2025 Accepting new patients
Dr Kinsler & Associates LLC Clinical PastSince Jan 5, 2025 Accepting new patients

Locations

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

1000 N West St
Ste 1200
Wilmington, DE 19801
Phone (302) 449-6471

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

101 Park Ave
Ste 1300
Oklahoma City, OK 73102
Phone (405) 689-9820

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1780970780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 N SUSAN CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089664",
            "telephone_number": "727-351-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8431 N SUSAN CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089664",
            "telephone_number": "727-351-3856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17734 Hunting Bow Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335585383",
            "country_code": "US",
            "telephone_number": "619-920-4629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919113136",
            "country_code": "US",
            "telephone_number": "619-498-8260",
            "fax_number": "619-498-8265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JELYN",
        "middle_name": "BERNARDO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61677808",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.