MR. PAUL DERRICK YOUNG (NPI# 1750879623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750879623 |
| Entity Type | Individual |
| Full Name | MR. PAUL DERRICK YOUNG |
| Credential | LPC |
| Practice Address |
1918 Mechanicsburg Rd Springfield OH 45503-3147 |
| Practice Telephone | 9373996101 |
| Mailing Telephone | 9373996101 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C.1800961 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174022271 | Paul Young Jr. | Counselor | 4959 Western St, New Orleans, LA 70122-5139 | 2018-02-05 |
| 1477548949 | Paul B Young | Pediatrics | 2825 Hunters Trl, Portage, WI 53901-3429 | 2005-09-12 |
| 1952921637 | Paul Young | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-04-22 |
| 1205495553 | Paul Erhumutemabor Young | Pathology | 301 University Blvd Mary Moody Northen 5.220, Galveston, TX 77555-0428 | 2019-06-11 |
| 1922532472 | Paul Andrew Young Jr. | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-04-11 |
| 1265979702 | Paul Young I | Behavior Technician | 7 Atlantic Ave, Port Jefferson Station, NY 11776-2107 | 2017-01-23 |
| 1952851362 | Paul Jeffrey Young | Counselor | 199 County Road Df Fl 3, Juneau, WI 53039-9512 | 2016-10-10 |
| 1336576933 | Paul Franklin Young | Counselor | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2013-09-27 |
| 1154603066 | Paul Anthony Young | Pharmacist | 850 S State St, Orem, UT 84097-7026 | 2011-09-16 |
| 1316274483 | Paul Michael Young | Physical Therapist | 5601 Okeechobee Blvd, Suite B, West Palm Beach, FL 33417-4489 | 2009-11-11 |
| Street Address |
1918 MECHANICSBURG RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
| 1225661226 | Lynn Patterson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2020-02-18 |
| 1407488992 | Luke Leffel | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2020-02-12 |
| 1689139149 | Kristina Gosney | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2019-02-08 |
| 1922563469 | Brionna S Banks | Social Worker | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2019-02-08 |
| 1538643135 | Kenneth Alan Bailor | Registered Nurse | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-09-19 |
| 1518452853 | Larry Cartwright | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-28 |
| 1215422589 | Debra Dade | Social Worker | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-28 |
| 1922593300 | Stone Nickerson | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| 1588159974 | Mary Howard | Case Manager/Care Coordinator | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
Please comment or provide details below to improve the information on MR. PAUL DERRICK 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.