Active NPI
Jelyn Bernardo Young, PH.D.
- Clinical Psychologist
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY61677808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY10002 | FL | MD | Clinical Psychologist |
| PY61677808 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Integrative Psychology, LLC | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Dr Kinsler & Associates LLC | Clinical | Past | 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.
-
- Psychologist
- Spokane, WA
- NPI 1700733292
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.