Keith A. Youngblood, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

461 Issued in AK

Practice address

7331 Clairborne Dr
Anchorage, AK 99502-7119

Phone

(907) 301-2992

Fax

(907) 222-5254

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 AK

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Neurology Center LLCGroup PAC ID 2163512328, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.15 of 100Reported as group

Quality

69.59

Promoting interoperability

99

Improvement activities

40

Cost

75.1

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.

• Alaska Neurology Center LLC

  • Neurology Physician
  • Anchorage, AK
  • NPI 1235310954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962526517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 CLAIRBORNE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995027119",
            "telephone_number": "907-301-2992",
            "fax_number": "907-222-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 CLAIRBORNE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995027119",
            "telephone_number": "907-301-2992",
            "fax_number": "907-222-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "KEITH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AK",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Margarita Young, PHD
• Sean Young, PSS
• Tanner Young, L.C.S.W.
• Christine Elizabeth Youngblood, PHARM D.
• Eric Shawn Youngblood, PHARM D
• Katelynn Nicole Younger
• William Robert Younger II
• Isis Youngman
• Kelsey Youngs
• Your Home Now Assisted Living Home

• Clinical Neuropsychologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Neuropsychologist in Alaska

• 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.
• 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.