DR. SHANNON KELLIM YOUNG (NPI# 1750511408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750511408 |
| Entity Type | Individual |
| Full Name | DR. SHANNON KELLIM YOUNG |
| Credential | LP, LCSW |
| Practice Address |
1461 Hilyard St Eugene OR 97401-4311 |
| Practice Telephone | 5412558255 |
| Mailing Telephone | 5412558255 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2014-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2298 | OR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
4454 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830003 | Shannon Young | Dentist | 40255 Grand River Ave Ste 100, Novi, MI 48375-2149 | 2020-04-20 |
| 1063982213 | Shannon Kerry Young | Social Worker | 2024 Brown St, Brooklyn, NY 11229-4012 | 2018-11-30 |
| 1962983189 | Shannon Lyn Young | Counselor | 1811 Winchester Dr Apt 4, Elko, NV 89801-8330 | 2018-08-25 |
| 1851834220 | Shannon Young | Physical Therapy Assistant | 1740 Audubon Trl, Lutz, FL 33549-9510 | 2016-12-02 |
| 1396190344 | Shannon Lynn Young | Occupational Therapy Assistant | 617 N Michael St, Saint Marys, PA 15857-1153 | 2016-04-27 |
| 1194193565 | Shannon Young | Behavioral Analyst | 110 E 177th Street, 1 J, Bronx, NY 10453 | 2015-09-02 |
| 1962827337 | Shannon Claire Young | Physical Therapist | 625 Lincoln Ave Ste 107, N Charleroi, PA 15022-2451 | 2014-02-21 |
| 1801027917 | Shannon Young | Dentist | Usa Dental Clinic, Apo, AP 96376-5115 | 2009-08-06 |
| 1508428806 | Shannon L Young | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-07-08 |
| 1053806778 | Shannon Young | Physical Therapy Assistant | 4686 E Asbury Cir, Denver, CO 80222-4723 | 2018-06-25 |
| Street Address |
1461 HILYARD ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295033223 | Lori Bernstein Allen | Psychologist | 1461 Hilyard St, Eugene, OR 97401-4311 | 2011-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538728472 | Little Star Psychological Services, LLC | Psychologist | 1127 Lincoln St, Eugene, OR 97401-3695 | 2019-06-12 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1801289343 | Alisia Caban | Psychologist | 1590 E 13th Ave., University Counseling & Testing Center, Eugene, OR 97403-1280 | 2015-03-09 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| 1073905758 | Brent Horner | Psychologist | 132 E Broadway Ste 301, Eugene, OR 97401-3154 | 2015-03-04 |
| 1558753392 | Elisabeth Musch | Psychologist | 1280 University of Oregon, Eugene, OR 97403-1205 | 2015-03-03 |
| 1598093015 | Jennifer Metheny | Psychologist | 1531 Pearl St, Eugene, OR 97401-4010 | 2009-11-20 |
| 1548429657 | Cara Dimarco | Psychologist | 134 E 13th Ave, Suite 1, Eugene, OR 97401-3587 | 2008-06-03 |
| 1669686416 | Llewellyn Wells Albrecht | Psychologist | 3260 Inspiration Point Dr, Eugene, OR 97405-2320 | 2007-05-10 |
| 1386797629 | Sabin Lamson | Psychologist | 1039 E 21st Ave, Eugene, OR 97405-3013 | 2007-01-19 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on DR. SHANNON KELLIM 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.