Individual provider

Susan Young, PSY. D.

Clinical Neuropsychologist Psychologist Clinical Psychologist Medicare enrolled

Susan Young, PSY. D. is a provider specialising in Clinical Neuropsychologist in Jacksonville, FL, registered under NPI 1215039656. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 13400 SUTTON PARK DR S SUITE 1504, Jacksonville, FL 32224. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

13400 SUTTON PARK DR S SUITE 1504, Jacksonville, FL 32224 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PY7306 FL Clinical Neuropsychologist primary
PY 7306 FL Psychologist
PY 7306 FL Clinical Psychologist

This provider holds licence PY7306 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
6406951086

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical Neuropsychologist covers

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. NUCC Health Care Provider Taxonomy, code 103G00000X
Behavioral Health & Social Service Providers Clinical Neuropsychologist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103G00000X Clinical Neuropsychologist PY7306 FL primary
103T00000X Psychologist PY 7306 FL
103TC0700X Clinical Psychologist Clinical PY 7306 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215039656 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 5, 2006
Last updatedOct 21, 2011
StatusActive
Sole proprietorYes
CredentialPSY. D.
Practice address 13400 SUTTON PARK DR S
SUITE 1504
Jacksonville, FL 32224
(904) 223-6414
Fax (904) 223-6418
Mailing address 600 IRONWOOD DR UNIT 635
Ponte Vedra Beach, FL 32082
This record was last updated on Oct 21, 2011, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1215039656 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 0 3 9 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 0 3 9 6 1

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215039656?
NPI 1215039656 is the National Provider Identifier assigned to Susan Young, PSY. D. in Jacksonville, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical Neuropsychologist cover?
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…
How do I contact Susan Young, PSY. D.?
The phone number on file with NPPES is (904) 223-6414, last updated Oct 21, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Susan Young, PSY. D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215039656 a valid number?
Yes. 1215039656 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.