Individual provider Active NPI

Tammy L Young, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1962090548
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2323380 Issued in MA
Practice address
386 Stanley St
Fall River, MA 02720-6009
Phone
(508) 679-5222
Fax
(508) 673-3182
NPI assigned
Jan 8, 2021
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN2323380 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2323380 MA Primary

Addresses

Primary practice location

386 Stanley St
Fall River, MA 02720-6009

Mailing address

386 Stanley St
Fall River, MA 02720-6009
Phone (508) 679-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304001258 MA Practitioner - Nurse Practitioner 4587009295 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Behavioral Health LLCGroup PAC ID 7517287444, 18 clinicians

Practice addresses (Care Compare)

386 Stanley St
Fall River, MA 02720-6009
Phone (508) 324-3550

581 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 207-9800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River to Recovery, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Northeast Behavioral Health, LLC CurrentSince Jan 13, 2024 Accepting new patients
Stanley Street Treatment and Resources, Inc. CurrentSince Jan 1, 2025 Accepting new patients
We Care Health and Wellness Centers Inc CurrentSince Sep 8, 2025 Accepting new patients
Stanley Street Treatment and Resources, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

386 Stanley St
Fall River, MA 02720
Phone (508) 324-3550

901 Eastern Ave
#1
Fall River, MA 02723
Phone (774) 704-5501

581 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 207-9800

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Interoperability endpoints

  • Direct secure messaging: tammy.young.p2@direct.sstar.nextgenshare.com
  • Direct secure messaging: tammy.young.p3@direct.sstar.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1962090548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAMMY",
        "middle_name": "L",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "RN2323380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2323380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.