Jennifer Young Jr., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016088 Issued in PA

Practice address

47 S Courtland St Ste 2
East Stroudsburg, PA 18301-2872

Phone

(570) 249-0594

NPI assigned

Jan 17, 2007

Last updated

Jul 28, 2021By 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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennife Ryoung, PH.D.

  • Clinical Psychologist
  • East Stroudsburg, PA
  • NPI 1366115180
  NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1891847398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BESECKER DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183027891",
            "telephone_number": "570-249-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 S COURTLAND ST STE 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012872",
            "telephone_number": "570-249-0594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Broad St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183601590",
            "country_code": "US",
            "telephone_number": "570-249-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Yannucci II, MD
• Kimberly S Yarnall, DC
• Peter T. Yaswinski Jr., M.D.
• Yoon-Taek Chun MD PC (Pocono Pediatric and Adolescent Medicine)
• Douglas A Young, MD
• Makena Young
• Paula S. Youngdahl, M.D.
• Michael L. Yucha Jr., PA-C
• Lacey Yzeik, MS, RDN, LDN
• Zahra Pediatrics LLC

• Psychologist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.