DR. KEVIN PATRICK YOUNG (NPI# 1871844621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871844621 |
Entity Type | Individual |
Full Name | DR. KEVIN PATRICK YOUNG |
Credential | PH.D. |
Practice Address |
200 Retreat Ave Hartford Hospital/ Institute of Living Hartford CT 06106-3309 |
Practice Telephone | 8605457167 |
Mailing Telephone | 8605457167 |
Enumeration Date | 2012-09-19 |
Last Update Date | 2014-07-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 3219 | CT | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
3219 | CT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720625882 | Kevin Jing Young | Physical Therapist | 2300 W Beverly Blvd Ste 202, Montebello, CA 90640-2380 | 2019-12-06 |
1639547870 | Kevin Young | Technician/Technologist | 2915 N Broadway St, Chicago, IL 60657-5313 | 2015-09-04 |
1174640155 | Kevin Edward Young | Dentist | 9391 S Old State Rd, Lewis Center, OH 43035 | 2007-03-23 |
1740356013 | Kevin L Young | Counselor | 2312 Peachford Rd, Suite C, Atlanta, GA 30338-7143 | 2006-11-28 |
1356312912 | Kevin W. Young | Psychiatry & Neurology | 315 E 9th St, Crowley, LA 70526-3707 | 2006-01-31 |
1609489053 | Kevin R Young | Pharmacist | 7065 La Palma Ave, Buena Park, CA 90620-2424 | 2020-08-26 |
1093375933 | Kevin Kendell Young | Physician Assistant | 330 White Oak Rd, Fredericksburg, VA 22405-2792 | 2019-06-13 |
1891250270 | Kevin Christopher Young | Psychologist | 11227 Lockwood Dr, Silver Spring, MD 20901-4554 | 2019-02-10 |
1720413982 | Kevin Wayne Young | Occupational Therapist | 540 S Main St, Mount Angel, OR 97362-9540 | 2013-09-06 |
1679830343 | Kevin Young | Pharmacist | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2012-04-18 |
Street Address |
200 RETREAT AVE HARTFORD HOSPITAL/ INSTITUTE OF LIVING |
City | HARTFORD |
State | CT |
Zip Code | 06106-3309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205833936 | Charles F Caley | Pharmacist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2005-07-07 |
1831797174 | Derek Alan Fenwick | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3310 | 2020-10-09 |
1215542436 | Diana Kolcz | Clinical Neuropsychologist | 200 Retreat Ave, Hartford, CT 06102-3101 | 2020-09-14 |
1588278550 | Moselle Campbell | Psychologist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-09-07 |
1346860665 | Emily Rosen-wachs | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-17 |
1578183893 | Andrew Ding | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-17 |
1346860590 | Lilly Rizzo | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-17 |
1225657521 | Ronald E Weir Jr. | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3309 | 2020-04-16 |
1669091088 | Carolina Michelle Vicens Cardona | Student in an Organized Health Care Education/Training Program | 200 Retreat Ave, Hartford, CT 06106-3310 | 2020-04-15 |
1508497033 | Kristina Ann-marie Flemming | Registered Nurse | 200 Retreat Ave, Hartford, CT 06106-3310 | 2020-02-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
Find all providers in zip 06106 |
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 |
---|---|---|---|---|
1215542436 | Diana Kolcz | Clinical Neuropsychologist | 200 Retreat Ave, Hartford, CT 06102-3101 | 2020-09-14 |
1871020974 | Kristin E Slyne | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2017-05-19 |
1629404017 | Carolina Posada | Clinical Neuropsychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2013-09-18 |
1053660498 | Sarah Anne Raskin | Clinical Neuropsychologist | 300 Summit St, Hartford, CT 06106-3100 | 2012-08-30 |
1750699070 | Caleb Paul Peck | Clinical Neuropsychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3310 | 2010-09-21 |
1205009537 | Cristina Laura Ciocca | Clinical Neuropsychologist | 85 Seymour St, Suite 803, Hartford, CT 06106-5501 | 2008-04-08 |
1053432450 | Corinne Elizabeth Harrington | Clinical Neuropsychologist | 200 Retreat Ave, Hartford, CT 06106-3309 | 2007-04-03 |
1245347707 | Fiona C Kehoe | Clinical Neuropsychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-23 |
1013021393 | Howard J Oakes Jr. | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital Psychiatry Department, Hartford, CT 06106 | 2006-08-17 |
1104930494 | Joseph F Kulas | Clinical Neuropsychologist | 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-17 |
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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.