Kimberley Tricia Young

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

675297 Issued in NY

Practice address

1007 Quentin Rd
Brooklyn, NY 11223-2341

Phone

(718) 998-3235

NPI assigned

Oct 26, 2018

Last updated

Oct 26, 2018By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1831666999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232341",
            "telephone_number": "718-998-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232341",
            "telephone_number": "718-998-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KIMBERLEY",
        "middle_name": "TRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "675297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Young
• Kayla Young, MS, CGC
• Kelly Ann Young
• Kelsey Young
• Ketticha Young
• Lauren Young, PHD
• Lisa Diane Young
• Maeve K Young, LCSW
• Marcia Young
• Nicholas Young, MA AND EDM

• Adult Psychiatric/Mental Health Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.