Active NPI
Kevin Christopher Young, PH.D.
- Psychologist
- Silver Spring, MD
National Provider Identifier
1891250270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 06037
- Practice address
- 11227 Lockwood Dr
Silver Spring, MD 20901-4554 - Phone
- (301) 593-4040
- NPI assigned
- Feb 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810006123 | VA | |
| Psychologist | 103T00000X | 06037 | MD | Primary |
Addresses
Primary practice location
11227 Lockwood Dr
Silver Spring, MD 20901-4554
Mailing address
11227 Lockwood Dr
Silver Spring, MD 20901-4554
Phone (301) 593-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06037 | Other | MD | MARYLAND BOARD OF PSYCHOLOGISTS |
| 0810006123 | Other | VA | VIRGINIA BOARD OF PSYCHOLOGISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06037 | MD | MD | Psychologist |
| 0810006123 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Therapy Center of Greater Washington, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cognitive & Behavioral Psychologist
- Silver Spring, MD
- NPI 1801005442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549756800000",
"number": "1891250270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11227 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014554",
"telephone_number": "301-593-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11227 LOCKWOOD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014554",
"telephone_number": "301-593-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KEVIN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-10",
"last_updated": "2019-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810006123",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PSYCHOLOGISTS",
"identifier": "06037",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF PSYCHOLOGISTS",
"identifier": "0810006123",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.