DR. KENNETH RAY YOUNG JR.


Address: 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157
Phone: 9529996097

DR. KENNETH RAY YOUNG JR. (NPI# 1083927917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083927917
Entity Type Individual
Full Name DR. KENNETH RAY YOUNG JR.
Credential PSYD, LP
Practice Address 12301 Whitewater Dr Ste 101
Minnetonka
MN 55343-4157
Practice Telephone 9529996097
Practice Fax Number 9524260508
Mailing Telephone 9529996097
Mailing Fax Number 9524260508
Enumeration Date 2010-07-20
Last Update Date 2017-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP5036 MN Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
LP5036 MN Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
LP5036 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1083927917 05

Other Providers KENNETH YOUNG

NPI Name Taxonomy Address Enumeration
1699381095 Kenneth Young Marriage & Family Therapist 37 Sturgis Rd, Edison, NJ 08817-4039 2020-09-21
1386179802 Kenneth Young Counselor 169 Mansfield Ave, Shelby, OH 44875-1832 2017-04-21
1265673578 Kenneth Young Massage Therapist 607 S Alexander St, Plant City, FL 33563-5053 2009-03-16
1437150067 Kenneth A Young Family Medicine 8523 Madison Ave, Suite A, Indianapolis, IN 46227-6115 2005-08-04
1689041287 Kenneth Young Physical Therapist 3838 50th St, Lubbock, TX 79413-3808 2015-08-31
1376957258 Kenneth Young Jr. Emergency Medicine 5841 S. Maryland Ave. Mc 5068, University of Chicago Section of Emergency Medicine, Chicago, IL 60637-9997 2014-06-18
1972742112 Kenneth George Young Social Worker 1818 Market St, Philadelphia, PA 19103-3638 2009-02-11
1932346442 Kenneth Young Rehabilitation Practitioner 9650 Zelzah Ave, Northridge, CA 91325-2003 2009-01-21
1770732190 Kenneth Scott Young Physical Therapist 244 E 84th St, 3rd Floor, New York, NY 10028-2904 2008-09-10
1578779575 Kenneth Marvin Young Dentist 1 Rockefeller Plz, 2229, New York, NY 10020-2003 2007-05-15

Office Location

Street Address 12301 WHITEWATER DR STE 101
City MINNETONKA
State MN
Zip Code 55343-4157

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033193172 Laura Ann Jaap Psychologist 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2005-12-02
1770102733 Janna Marie Schriber Counselor 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2020-04-10
1821644774 David Brandsrud Nurse Practitioner 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2019-08-15
1255840187 Michaela Marie Bucchianeri Psychologist 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2017-09-22
1780128306 Melanie Natasha Gabrielle Hultgren Marriage & Family Therapist 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2016-12-16
1851775308 Ross Fulton Barr Psychologist 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2015-07-15
1588094809 Katherine Whitmire Murphy Counselor 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2013-11-22
1750575379 Amber Holmes Isham Marriage & Family Therapist 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 2007-08-28
1669680609 Christie Ann Wick Marriage & Family Therapist 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 2007-05-21
1699842138 John Gregory Luehr Psychiatry & Neurology 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 2006-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689230542 Madison C Korus Behavior Technician 5501 Feltl Road, Minnetonka, MN 55343 2019-05-16
1942708508 Teammd Physicians of Texas Inc Case Manager/Care Coordinator 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 2018-01-30
1659899284 Midwest Medical Transit Transportation Broker 1001 Main Street #125, Hopkins, MN 55343 2017-09-04
1376070367 Noor Translation and Interpretation Services LLC Interpreter 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 2017-05-22
1871043240 Katherine Rae Skarphol Speech-Language Pathologist 5501 Feltl Rd, Hopkins, MN 55343 2016-10-10
1215481478 Safi Care Transportation Non-emergency Medical Transport (VAN) 1001 Mainstreet, Ste 125, Hopkins, MN 55343 2016-08-05
1649723420 Stephanie Stackhouse Internal Medicine 5520 Bristol Lane, Minnetonka, MN 55343 2016-07-28
1023479706 Counter Point Recovery Substance Abuse Rehabilitation Facility 5022 Baker Rd, Minnetonka, MN 55343 2016-03-09
1851766356 Enrique Mendoza Rojas Nurse Practitioner 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 2015-12-09
1013307230 Susanna Monroe Nurse Practitioner Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 2015-01-26
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639603541 Minnetonka Counseling LLC Psychologist 12301 Whitewater Dr # 30, Minnetonka, MN 55343-9447 2017-04-18
1144554858 Clare N Buntrock Psychologist 10275 Wayzata Blvd, #270, Minnetonka, MN 55305-1659 2009-09-28
1033267612 Alecia Ann Viera Psychologist 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1502 2007-01-08
1407926363 Rita A Benak Psychologist 11900 Wayzata Blvd Ste 200, Minnetonka, MN 55305-2053 2006-11-08
1720171382 Peggy Susan Maki Psychologist 601 Carlson Pkwy, Suite 1050, Minnetonka, MN 55305-5203 2006-10-02
1548370190 Johanna Lee Lamm Psychologist 11812 Wayzata Blvd, Suite 212, Minnetonka, MN 55305-2012 2006-08-30
1821106279 Sara Elvabogestad Schilplin Psychologist 12301 Whitewater Dr, Ste 101, Minnetonka, MN 55343-9447 2006-08-27
1386757300 Jacquelyn K. Wiersma Psychologist 3931 Auburn Dr, Minnetonka, MN 55305-5196 2006-08-16
1053325175 Susan Kay Powers Olson Psychologist 17508 Minnetonka Blvd, Minnetonka, MN 55345-1007 2006-07-27
1114974201 The Terrace Group Ltd Psychologist 10580 Wayzata Blvd, Ste 150, Minnetonka, MN 55305-1657 2006-05-27
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Competitor

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City MINNETONKA
Zip Code 55343

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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