Active NPI
Sylvia T. Young, PH.D.
- Clinical Psychologist
- Culver City, CA
National Provider Identifier
1952518037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 7329
- Practice address
- 4925 Indian Wood Rd
#378
Culver City, CA 90230-7559 - Phone
- (310) 837-4229
- Fax
- (310) 316-2677
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 7329 | CA | Primary |
Addresses
Primary practice location
4925 Indian Wood Rd
#378
Culver City, CA 90230-7559
Mailing address
4925 Indian Wood Rd
#378
Culver City, CA 90230-7559
Phone (310) 837-4229
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 |
|---|---|---|---|
| PSY 7329 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952518037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 INDIAN WOOD RD",
"address_2": "#378",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902307559",
"telephone_number": "310-837-4229",
"fax_number": "310-316-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 INDIAN WOOD RD",
"address_2": "#378",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902307559",
"telephone_number": "310-837-4229",
"fax_number": "310-316-2677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SYLVIA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 7329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- 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.