CENTER FOR NEUROPSYCHOLOGY AND BEHAVIORAL HEALTH
NPI 1790398121
Clinical Neuropsychologist in Kentwood, MI

Active since August 25, 2020
3230 BROADMOOR AVE SE STE D, KENTWOOD, MI 49512(616) 862-5603(616) 974-6353 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2026, Aug 25, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinical Neuropsychologist

About CENTER FOR NEUROPSYCHOLOGY AND BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Center For Neuropsychology And Behavioral Health, a provider established in Kentwood, Michigan operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1790398121 assigned on August 2020. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated May 2026. Center For Neuropsychology And Behavioral Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Crystal Young Phd (Owner)

NPI
1790398121 Verify this NPI
Provider Name
CENTER FOR NEUROPSYCHOLOGY AND BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
3230 BROADMOOR AVE SE STE D KENTWOOD, MI 49512
Location Phone
(616) 862-5603
Location Fax
(616) 974-6353
Mailing Address
3230 BROADMOOR AVE SE STE D KENTWOOD, MI 49512
Mailing Phone
(616) 862-5603
Mailing Fax
(616) 974-6353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2020
Last Update Date
05-20-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
2104100000XBehavioral Health & Social Service Providers

Social Worker

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CRYSTAL YOUNG PHD

Authorized Official Title
OWNER
Authorized Official Phone
(616) 862-5603

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Counselor (Professional)
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Marriage & Family Therapist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Psychologist (Clinical)
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Clinical Neuropsychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790398121, enumerated as an "organization" on August 25, 2020.

The provider is located at 3230 BROADMOOR AVE SE STE D KENTWOOD, MI 49512 and the phone number is (616) 862-5603.

Clinical Neuropsychologist with taxonomy code 103G00000X.