DR. CRYSTAL YOUNG (NPI# 1841609369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841609369 |
Entity Type | Individual |
Full Name | DR. CRYSTAL YOUNG |
Credential | PH.D. |
Practice Address |
1550 E Beltline Ave Se Suite 340 Grand Rapids MI 49506-4301 |
Practice Telephone | 6168625603 |
Mailing Telephone | 6168625603 |
Enumeration Date | 2014-08-08 |
Last Update Date | 2014-08-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 6301015368 | MI | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301015368 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306456546 | Crystal Lache Young | Home Health | 6111 Leonard Way, Louisville, KY 40229-1405 | 2020-08-03 |
1902107188 | Crystal Dionna Young | Licensed Practical Nurse | 1526 Belmar Rd, East Cleveland, OH 44118-1123 | 2010-11-04 |
1821172230 | Crystal L Young | Speech-Language Pathologist | 129 Ne Parks View Ct, Lees Summit, MO 64064-2353 | 2006-10-24 |
1114566833 | Crystal Young | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2019-12-27 |
1023488517 | Crystal Young | Counselor | 3576 Arlington Ave Ste 100, Riverside, CA 92506-3907 | 2015-09-28 |
1770963076 | Crystal Young | Dietitian, Registered | 39001 Sundale Dr, Fremont, CA 94538-2005 | 2015-06-02 |
1811382880 | Crystal Young | Counselor | 2730 Adeline St, Oakland, CA 94607-2408 | 2015-04-06 |
1821423559 | Crystal Johnson Young | Pharmacist | 1700 Sw 7th St, Topeka, KS 66606 | 2013-09-12 |
1598074072 | Crystal Alexandria Young | Physical Therapist | 966a Killian Hill Rd Sw, Lilburn, GA 30047-3102 | 2010-09-30 |
1801035001 | Crystal D. Young | Social Worker | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2009-02-11 |
Street Address |
1550 E BELTLINE AVE SE SUITE 340 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49506-4301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
Find all providers in zip 49506 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861686784 | Lauren Elizabeth Spoon | Clinical Neuropsychologist | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2007-09-04 |
1538287495 | James Bernard De Boe | Clinical Neuropsychologist | 4131 Embassy Dr Se, Grand Rapids, MI 49546-2418 | 2007-03-27 |
1891867495 | Cherry Street Services, Inc. | Clinical Neuropsychologist | 669 Stocking Ave Nw, Grand Rapids, MI 49504-5176 | 2006-11-15 |
1477663599 | Don Allen Boyd | Clinical Neuropsychologist | 3300 Burton St Se Ste B, Grand Rapids, MI 49546-4398 | 2006-08-30 |
1598705675 | Thomas Charles Fuller | Clinical Neuropsychologist | 161 Ottawa Nw, Ste 300c, Grand Rapids, MI 49503-2707 | 2006-06-07 |
1447738877 | Draycen Decator | Clinical Neuropsychologist | 3292 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2018-07-28 |
1144717604 | Jaclyn Reckow | Clinical Neuropsychologist | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2018-04-19 |
1184172496 | Jesse J Piehl | Clinical Neuropsychologist | 3292 Evergreen Dr Ne, Grand Rapids, MI 49525-9580 | 2016-09-15 |
1144678020 | Alicia Beth Vanden Bussche Jantz | Clinical Neuropsychologist | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 | 2016-06-01 |
1619346285 | Brianne Alyse Brooker | Clinical Neuropsychologist | 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503-2530 | 2015-09-24 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49506 |
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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.