DR. KIMBERLY ARLENE YOUNG (NPI# 1265634505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265634505 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ARLENE YOUNG |
| Credential | PH. D. |
| Practice Address |
3505 N 124th St Uppr Brookfield WI 53005-2489 |
| Mailing Address |
4721 N Marlborough Dr Whitefish Bay WI 53211-1105 |
| Practice Telephone | 4144314444 |
| Mailing Telephone | 4146883786 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2495-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 409564000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4721 N Marlborough Dr, Whitefish Bay, WI 532111105 | 4146883786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533553 | Kimberly Wade Young | Nurse Practitioner | 2936 Idaho Falls Dr, Beavercreek, OH 45431-5607 | 2020-06-21 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1770030827 | Kimberly Young | Technician, Other | 795 Michigan Ave, Gaylord, MI 49735-9525 | 2016-09-07 |
| 1194197434 | Kimberly Young | Nurse Practitioner | 501 Fellowship Rd Ste 101, Mount Laurel, NJ 08054 | 2015-10-27 |
| 1083963185 | Kimberly Kyzer Young | Pharmacist | 1002 Sams Crossing Rd, Columbia, SC 29229 | 2012-09-05 |
| 1073761813 | Kimberly Dawn Young | Physical Therapy Assistant | 405 Royal Glen Blvd, Murfreesboro, TN 37128-3744 | 2008-09-05 |
| 1396373601 | Kimberly Anieka Young | Social Worker | 109 S Elm St, Creedmoor, NC 27522-9181 | 2020-03-31 |
| 1881168540 | Kimberly Latasha Young | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-01-16 |
| 1457852162 | Kimberly Lavon Young | Registered Nurse | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-02-27 |
| Street Address |
3505 N 124TH ST UPPR |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822406 | Diane Katherine Heighway | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2020-08-18 |
| 1770105306 | Carrie Imoehl | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2020-05-18 |
| 1689212995 | Yasmin Karce | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2019-12-17 |
| 1114569977 | Kate Zolandz | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2019-10-14 |
| 1497396766 | Ivan Ruvalcaba | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2019-10-08 |
| 1962062190 | Alycia Dion Marin | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2019-06-19 |
| 1780243501 | Michelle Brown | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2019-06-06 |
| 1124687868 | Gabrielle Yank | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2019-06-06 |
| 1588228357 | Jasmine Gaines | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2019-04-27 |
| 1962987396 | Danielle Catina Wesley-brumfield | Counselor | 3505 N 124th St, Brookfield, WI 53005-2489 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922047315 | Michael J Cichy | Psychologist | 19333 W North Ave, Room 310 - Behavioral Health, Brookfield, WI 53045-4132 | 2006-06-04 |
| 1326092230 | Dawn M Zahrt | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-22 |
| 1346292075 | Robert L Schum | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-17 |
| 1730131301 | Suzie J Franklin | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-16 |
| 1912958737 | Kenneth L Grizzle | Psychologist | 13800 W North Ave, Child Development Center of Chw, Brookfield, WI 53005-4977 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376068379 | Monica L Gremillion | Psychologist | 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 | 2017-08-10 |
| 1861808412 | Jeffrey Karst | Psychologist | 8701 Watertown Plank Rd., Mfrc 3018, Medical College of Wisconsin Pediatric Hem/onc/bmt, Milwaukee, WI 53226 | 2014-07-03 |
| 1073683413 | Amy M Schley | Psychologist | 204 Wisconsin Ave, Waukesha, WI 53186-4927 | 2006-11-09 |
| 1740229079 | Mary Margaret Rhoades | Psychologist | 5 Odana Ct, Madison, WI 53719-1120 | 2006-06-05 |
| 1861458093 | Anton C Smets | Psychologist | 101 N Farwell St Ste 204, Eau Claire, WI 54703-3767 | 2006-04-25 |
| 1265408173 | Marianne B Burton | Psychologist | 3610 Michelle Witmer Memorial Dr., New Berlin, WI 53151 | 2006-02-28 |
| 1003398868 | Megan Kay Higinbotham | Psychologist | 430 E Division St, Fond Du Lac, WI 54935-4597 | 2018-08-29 |
| 1134645724 | Kelsie-marie Offenwanger | Psychologist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2017-08-16 |
| 1699155648 | Center for Language Acquisition and Social Skills Intervention, LLC | Psychologist | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2015-06-04 |
| 1932501053 | Christopher Waser | Psychologist | 1524 S Lee St, Appleton, WI 54915-3822 | 2014-09-19 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on DR. KIMBERLY ARLENE YOUNG.
| 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.