Kelly C Young

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

PS02341 Issued in RI

Practice address

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032

Phone

(401) 259-0340

Fax

(401) 213-8538

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1811022809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 BRIARWOOD PL",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778541",
            "telephone_number": "317-431-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-259-0340",
            "fax_number": "401-213-8538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021305",
            "country_code": "US",
            "telephone_number": "317-941-2200",
            "fax_number": "317-941-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KELLY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "RI",
            "license": "PS02341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xong Yang, MASTERS
• Brandon Justin Yost, OTR/L
• You Matter Holistic Healing LLC
• Carolyn Te Young, MD
• Kathy Young
• Medina Young
• Shiwen Yuan, MD
• Kylie Zaccari, DMD
• Mohammad Khalequz Zaman, MD
• Brook Reid Zambarano, LMHC

• All providers in Cranston, RI
• Health Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.