MICHAEL JORDAN YOUNG PH.D. NPI 1588143960

NPI Information

  • NPI: 1588143960
  • Provider Name: MICHAEL JORDAN YOUNG, PH.D.
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 2620 26TH AVE
    OAKLAND, CA
    ZIP 94601
  • Phone: (408) 439-6341

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NPI Details

Michael Jordan Young, PH.D. is a rehabilitation practitioner in Oakland, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Michael Jordan Young, PH.D. NPI is 1588143960. 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:

2620 26TH AVE
OAKLAND, CA
ZIP 94601-907
Phone: (408) 439-6341

The enumeration date for this NPI number is 8/7/2018 and was last updated on 8/26/2025.

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
1103T00000XPsychologistPSB94024242CALIFORNIANo
2103T00000XPsychologistPSB94025279CALIFORNIANo
3225400000XRehabilitation PractitionerCALIFORNIAYes

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: 11/21/2025

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