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DR. SUSAN NILETTE YOUNG PSY. D. NPI 1215039656


NPI Information

NPI: 1215039656
Provider Name: DR. SUSAN NILETTE YOUNG, PSY. D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
13400 SUTTON PARK DR S
SUITE 1504
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 223-6414
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DR. Susan Nilette Young, PSY. D. is a clinical neuropsychologist in Jacksonville, FL with 20 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Susan Nilette Young, PSY. D. NPI is 1215039656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13400 SUTTON PARK DR S
SUITE 1504
JACKSONVILLE, FL
ZIP 32224-236
Phone: (904) 223-6414
Fax: (904) 223-6418

The NPI 1215039656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 10/21/2011.


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
1103T00000XPsychologistPY 7306FLORIDANo
2103TC0700XPsychologistClinicalPY 7306FLORIDANo
3103G00000XClinical NeuropsychologistPY7306FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.