Individual provider Active NPI

Sharon L Young, PHD PSYCHOLOGY

  • Psychologist
  • Hendersonville, NC
National Provider Identifier
1851424824
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2691 Issued in NC
Practice address
322 8TH Ave E
Hendersonville, NC 28792-3713
Phone
(828) 774-9648
NPI assigned
Mar 13, 2007
Last updated
Oct 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2691 NC Primary

Addresses

Primary practice location

322 8TH Ave E
Hendersonville, NC 28792-3713

Mailing address

325 Charlestown Dr
Hendersonville, NC 28792-3539
Phone (828) 774-9648

Other identifiers 1

IdentifierTypeStateIssuer
6000816MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20081122000102 NC Practitioner - Clinical Psychologist 6406836733 Reassigns benefits to 1 organization
Practice locations: Hendersonville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1915 George St
Hendersonville, NC 28792-2948
Phone (828) 774-9648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2691NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Community Psychologist CurrentSince Jan 1, 2024 Accepting new patients
Full Circle Counseling Group, PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1851424824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHARLESTOWN DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287923539",
            "telephone_number": "828-774-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 8TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287923713",
            "telephone_number": "828-774-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000816",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.