DR. DALE YOUNG (NPI# 1609088921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609088921 |
| Entity Type | Individual |
| Full Name | DR. DALE YOUNG |
| Credential | PSY.D. |
| Practice Address |
877 Beacon St Boston MA 02215-3801 |
| Mailing Address |
83a Brookside Ave Boston MA 02130-2647 |
| Practice Telephone | 6175364813 |
| Mailing Telephone | 6175225293 |
| Mailing Fax Number | 6175225293 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6558 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0523747 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342793 | Dale M Young | Counselor | 1357 Sw Eagleglen Pl, Stuart, FL 34997-7166 | 2018-07-10 |
| 1871032714 | Dale Young | Social Worker | 10026 Hobart Rd, Kirtland, OH 44094-9723 | 2017-02-13 |
| 1851394688 | Dale A. Young | Optometrist | 20231 W Valley Blvd Ste G, Tehachapi, CA 93561-6748 | 2005-05-24 |
| 1629387659 | Dale Watson Young | Rehabilitation Counselor | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2010-09-24 |
| 1114162542 | Dale Russell Young Jr. | Technician, Other | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-12-15 |
| 1598890774 | Dale Ann Young | Counselor | 4025 W 226th St, Torrance, CA 90505-2340 | 2007-02-21 |
| 1699794461 | Dale Alexander Young | Internal Medicine | 701 Grove Rd, 5th Floor, Greenville, SC 29605-5611 | 2006-07-19 |
| 1386684975 | Dale Christopher Young | Orthopaedic Surgery | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 | 2006-06-08 |
| Street Address |
877 BEACON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134106891 | Joel Christopher Frost | Psychologist | 877 Beacon St, Boston, MA 02215-3801 | 2005-12-23 |
| 1982840674 | Mark Morano | Nutritionist | 877 Beacon St, Boston, MA 02215-3801 | 2008-12-30 |
| 1831365899 | Backbeat Inc. | Health Maintenance Organization | 877 Beacon St, Boston, MA 02215-3801 | 2008-04-30 |
| 1144438227 | Deborah Bluestone | Social Worker | 877 Beacon St, Boston, MA 02215-3801 | 2007-05-20 |
| 1952520322 | Janet Noonan | Social Worker | 877 Beacon St, Boston, MA 02215-3801 | 2007-04-24 |
| 1114066347 | Julie Watts | Psychologist | 877 Beacon St, Boston, MA 02215 | 2007-02-05 |
| 1104982529 | Karen Richardson Roos | Social Worker | 877 Beacon St, Suite 401, Boston, MA 02215-3801 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1942826813 | David Leo Pendergast | Psychologist | 36 A St Unit 6c, Boston, MA 02127-1870 | 2020-06-17 |
| 1063035566 | Hermine Muskat | Psychologist | 1313 Washington St Apt 521, Boston, MA 02118-2170 | 2020-05-19 |
| 1750914503 | Stephanie Petit Jean Louis | Psychologist | 80 Fenwood Rd Unit 405, Boston, MA 02115-6138 | 2020-02-20 |
| 1164078754 | Alexandria Miller | Psychologist | 801 Massachusetts Ave # 2067, Boston, MA 02118-2605 | 2019-08-10 |
| 1356824288 | Mira Mooreville Nurko | Psychologist | 71 Rockview St, Boston, MA 02130-2147 | 2018-09-06 |
| 1083195416 | Lawrence Pilkington Stifler | Psychologist | 99 Summer St Fl 12, Boston, MA 02110-1213 | 2018-08-23 |
| 1952896326 | Amy R. Pettit | Psychologist | 11 Deerfield St, Boston, MA 02215-5600 | 2018-06-27 |
| Find all providers in BOSTON | ||||
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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.