DR. PETER BERNHART YOUNG PHD NPI 1326090770

NPI Information

NPI: 1326090770
Provider Name: DR. PETER BERNHART YOUNG, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
10820 KINGSTON PIKE
SUITE 21
KNOXVILLE, TN
ZIP 37934
Phone: (865) 671-6935
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DR. Peter Bernhart Young, PHD is a clinical neuropsychologist in Knoxville, TN. 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. Peter Bernhart Young, PHD NPI is 1326090770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10820 KINGSTON PIKE
SUITE 21
KNOXVILLE, TN
ZIP 37934-066
Phone: (865) 671-6935
Fax: (865) 675-0502

The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/13/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		718	WEST VIRGINIA	No
2	103TC0700X	Psychologist	Clinical	P-1466	TENNESSEE	No
3	103TC0700X	Psychologist	Clinical	718	WEST VIRGINIA	No
4	103G00000X	Clinical Neuropsychologist		P-1466	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3684340	MEDICAID	TENNESSEE
2	P-1466	OTHER	TENNESSEE	PSYCHOLOGY LICENSE #
3	2007179	OTHER	TENNESSEE	BLUECROSSBLUESHIELD
4	718	OTHER	WEST VIRGINIA	PSYCHOLOGY LICENSE #
5	3684340	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE

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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