Individual provider Active NPI

Byron Mark Anthony Young, M.D.

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1932417219
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
263352 Issued in NY
Practice address
425 E 25TH St FL 8
New York, NY 10010-2547
Phone
(504) 858-8236
NPI assigned
Sep 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 136547 CA
Psychiatry Physician 2084P0800X 263352 NY
Child & Adolescent Psychiatry Physician 2084P0804X 136547 CA
Child & Adolescent Psychiatry Physician 2084P0804X 263352 NY Primary

Addresses

Primary practice location

425 E 25TH St FL 8
New York, NY 10010-2547

Mailing address

10 City PT Apt 45B
Brooklyn, NY 11201-7011
Phone (504) 858-8236

Other practice location 1

111 Myrtle St
Suite 102
Oakland, CA 94607-2525
Phone (510) 922-9757

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 Medicine

State licenses

LicenseStateTypeSpecialty
136547CAMDChild & Adolescent Psychiatry Physician
263352NYMDChild & Adolescent Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: byoung745834@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932417219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CITY PT APT 45B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017011",
            "telephone_number": "504-858-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 25TH ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102547",
            "telephone_number": "504-858-8236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Myrtle St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072525",
            "country_code": "US",
            "telephone_number": "510-922-9757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BYRON",
        "middle_name": "MARK ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "136547",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "263352",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "136547",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "263352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.