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NANCY D YOUNG PHD NPI 1104029784


NPI Information

NPI: 1104029784
Provider Name: NANCY D YOUNG PHD

Doing Business As: PATHWAYS TO WELLNESS

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2845 MESA VERDE DR E
SUITE 8
COSTA MESA, CA
ZIP 92626
Phone: (714) 432-9856
Get Directions

NANCY D YOUNG PHD is a clinical psychologist in Costa Mesa, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NANCY D YOUNG PHD NPI is 1104029784. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pathways To Wellness.

The provider's business location address is:

2845 MESA VERDE DR E
SUITE 8
COSTA MESA, CA
ZIP 92626-858
Phone: (714) 432-9856
Fax: (714) 432-7075

The provider's authorized official is Stephenie Champlin .
The authorized official title is Executive Assistant &office Manager and has the following contact phone number (714) 432-9856.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 9/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY 20804CALIFORNIANo
2103TC0700XPsychologistClinicalPSY 11961CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396787156OTHERCALIFORNIANPI FOR JUDY FLUOR RUNELS
21205862224OTHERCALIFORNIANPI FOR NANCY D YOUNG PHD
3CP11961AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIANANCY YOUNG, PHD
4WCP20804AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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