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JENNIFER K. YOUNGSTROM PH.D
NPI 1487604765
Psychologist - Clinical in Durham, NC

Active since May 10, 2006
1316 BROAD ST, DURHAM, NC 27705(216) 410-5711 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2021, Sep 29, 2021 (2 updates tracked since 2021).

About Jennifer K. Youngstrom Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER K. YOUNGSTROM PH.D (NPI 1487604765) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (3287) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1487604765
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER K. YOUNGSTROMCredential: PH.D
Location Address1316 BROAD STDurham, NC 27705-3533
Mailing Address103 Westchester PlChapel Hill, NC 27514-5237 · (216) 410-5711
Phone(216) 410-5711
Sole ProprietorYes
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
✔ NPI 1487604765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 3287
Definition
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.
1316 BROAD ST, Durham, NC 27705
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISTA COUNSELING PLLC
Counselor (Mental Health)
1316 BROAD ST
DURHAM, NC 27705
Durham County (919) 885-6366
DR. LINDSEY YOUNG COPELAND PH.D.
Psychologist
1316 BROAD ST
DURHAM, NC 27705
Durham County (919) 358-9624
LESLIE R. ROACH, P.L.L.C.
Social Worker (Clinical)
1316 BROAD ST
DURHAM, NC 27705
Durham County (919) 213-0407
LESLIE ROACH
Social Worker (Clinical)
1316 BROAD ST
DURHAM, NC 27705
Durham County (919) 213-0407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Youngstrom's NPI number?

The NPI number for Jennifer Youngstrom is 1487604765. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Jennifer Youngstrom located?

Jennifer Youngstrom practices at 1316 Broad St, Durham, NC 27705. The listed phone number is (216) 410-5711.

What is Jennifer Youngstrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Youngstrom was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.