JENNIFER K. YOUNGSTROM (NPI# 1487604765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487604765 |
| Entity Type | Individual |
| Full Name | JENNIFER K. YOUNGSTROM |
| Credential | PH.D |
| Practice Address |
2525 E 22nd St Cleveland OH 44115-3202 |
| Practice Telephone | 2166965800 |
| Practice Fax Number | 2166966592 |
| Mailing Telephone | 2166965800 |
| Mailing Fax Number | 2166966592 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
5511 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BLUE CROSS PIN | 000000210278 | 01 |
| Street Address |
2525 E 22ND ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806973 | Ashleigh Putney | Behavioral Analyst | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-09-23 |
| 1891301537 | Nicole Beasley | Behavioral Analyst | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-09-18 |
| 1437765187 | Christopher Lloyd Harrington | Behavioral Analyst | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-09-18 |
| 1598375602 | Megan Zawilinski | Case Manager/Care Coordinator | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-08-04 |
| 1538780119 | Alex Cordaro | Case Manager/Care Coordinator | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-05-05 |
| 1124649041 | Samantha Billittier | Case Manager/Care Coordinator | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-05-01 |
| 1790306793 | Patrick Frazier | Case Manager/Care Coordinator | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-04-30 |
| 1811518285 | Aaron Lynch | Case Manager/Care Coordinator | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-04-27 |
| 1366062937 | Holly Sobeck | Case Manager/Care Coordinator | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-04-23 |
| 1649890203 | Morgan Graham | Case Manager/Care Coordinator | 2525 E 22nd St, Cleveland, OH 44115-3202 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| 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 |
|---|---|---|---|---|
| 1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
| 1992316400 | Emilee Carmen Valler Gorfien | Psychologist | 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 | 2020-08-10 |
| 1770017139 | Maribeth Wicoff | Psychologist | 2500 Metrohealth Drive, Cleveland, OH 44109-1998 | 2017-04-12 |
| 1265845150 | Natale N Hilaael-badillo | Psychologist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-06-09 |
| 1073806139 | Katherine Lamparyk | Psychologist | 2801 Martin Luther King Jr Dr, Cleveland, OH 44104-3815 | 2011-05-24 |
| 1104125186 | Sarah Cain Spannagel | Psychologist | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2011-03-16 |
| 1053547679 | Brandi M Jones | Psychologist | 2500 Metrohealth Drive, Cleveland, OH 44109-1998 | 2009-06-10 |
| 1922254986 | Jessica Elaine Emick | Psychologist | 14538 Grapeland Ave, Cleveland, OH 44111-2107 | 2008-08-11 |
| 1457548125 | Rebecca A Hazen | Psychologist | 11100 Euclid Avenue, Cleveland, OH 44106 | 2007-09-26 |
| 1750572798 | Kathrine L Josie | Psychologist | 11100 Euclid Avenue, Cleveland, OH 44106 | 2007-08-06 |
| Find all providers in CLEVELAND | ||||
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| 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.