Wayne T. Young, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100122500 Issued in NJ

Practice address

743 Northfield Ave
Suite 3
West Orange, NJ 07052-1107

Phone

(973) 325-2466

Fax

(973) 228-0581

NPI assigned

Oct 25, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881779486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 NORTHFIELD AVE",
            "address_2": "SUITE 3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521107",
            "telephone_number": "973-325-2466",
            "fax_number": "973-228-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 NORTHFIELD AVE",
            "address_2": "SUITE 3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521107",
            "telephone_number": "973-325-2466",
            "fax_number": "973-228-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WAYNE",
        "middle_name": "T.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100122500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Yeung
• Susan Sonhe Yoo, M.D.
• Peter Heesung Yoon, OD
• Seungwon Yoon, D.M.D.
• Robynn Young, LPC
• Youth Consultation Service Inc
• Nicoletta Cassandra Yuelys
• Yvette a Bridges M D P a
• Sadia Zafar, PA-C
• Zafer Termanini M.D.

• Psychologist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.