DR. CRYSTAL YOUNG PH.D.
NPI 1841609369
Clinical Neuropsychologist in Kentwood, MI

Active since August 08, 2014
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.

  • Individual
  • Female
  • Clinical Neuropsychologist

About CRYSTAL YOUNG

This page provides the complete NPI Profile along with additional information for Crystal Young, a provider established in Kentwood, Michigan with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1841609369 assigned on August 2014. The practitioner's primary taxonomy code is 103G00000X with license number 6301015368 (MI). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1841609369 Verify this NPI
Provider Name
DR. CRYSTAL YOUNG PH.D.
Gender
Female
Entity Type
Individual
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?
Yes
Enumeration Date
08-08-2014
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
License No.
6301015368
License State
MI
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)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

6301015368 (MI)

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Other Providers at the Same Location


The following 5 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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841609369, enumerated as an "individual" on August 08, 2014.

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.