NPIMap

Organization Active NPI

Young & Brovet, Inc.

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1780976092
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3275 Issued in NC
Legal business name
YOUNG & BROVET, INC.
Practice address
2435 Lynn Rd Ste 200
Raleigh, NC 27612-6756
Phone
(919) 741-1972
Fax
(919) 845-4714
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Jason Wiley Young, PSYD.NPI 1386773257
Title
Managing Partner/Psychologist
Phone
(919) 741-1972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3275 NC Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 911 NC

Addresses

Primary practice location

2435 Lynn Rd Ste 200
Raleigh, NC 27612-6756

Mailing address

2435 Lynn Rd Ste 200
Raleigh, NC 27612-6756
Phone (919) 741-1972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1780976092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 LYNN RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126756",
            "telephone_number": "919-741-1972",
            "fax_number": "919-845-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 LYNN RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126756",
            "telephone_number": "919-741-1972",
            "fax_number": "919-845-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG & BROVET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "WILEY",
        "authorized_official_title_or_position": "MANAGING PARTNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-741-1972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3275",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.