Robert W Young Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6915 Issued in FL

Practice address

5413 George St
Suite 2
New Port Richey, FL 34652-4101

Phone

(727) 848-0840

Fax

(727) 255-5075

NPI assigned

Jul 26, 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

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Trinity Behavioral Health, LLC

  • Clinical Psychologist
  • New Port Richey, FL
  • NPI 1326375296

  Clinical, FL

  Medicare reassignment NPD Authorized official
• Benjamin N Cohen PHD PA

  • Counseling Psychologist
  • Tarpon Springs, FL
  • NPI 1750503363
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1891719977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 GEORGE ST",
            "address_2": "SUITE 2",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524101",
            "telephone_number": "727-848-0840",
            "fax_number": "727-255-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 GEORGE ST",
            "address_2": "SUITE 2",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524101",
            "telephone_number": "727-848-0840",
            "fax_number": "727-255-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Yetto, ITDS
• Joel Yoder
• You First Health & Wellness
• Deborah Dawn Young, AU.D.
• Rita Euler Young, LMHC, CAC
• Shaun Ryan Young, DMD
• Tierra Young
• Youth and Family Alternatives, Inc.
• Z Orange Pharmacy
• Ekaterina Zabakhidze, MD

• All providers in New Port Richey, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.