DR. JANELLE MARIE YOUNGDAHL PHD
NPI 1841800067
Psychologist - Clinical in Ada, MI

Active since August 03, 2020Opted out of Medicare · through Jan 11, 2028
4690 FULTON ST E, ADA, MI 49301(810) 225-3417 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2023, Jul 13, 2022, Aug 31, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Janelle Marie Youngdahl Phd NPPES

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

DR. JANELLE MARIE YOUNGDAHL PHD (NPI 1841800067) is an individual clinical provider in Ada, Michigan, licensed in Michigan (6301019162) and active in the NPI registry since August 2020. She has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1841800067
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JANELLE MARIE YOUNGDAHLCredential: PHD
Location Address4690 FULTON ST EAda, MI 49301-8454
Mailing Address4690 Fulton St EAda, MI 49301-8454
Sole ProprietorNo
Enumeration DateAugust 3, 2020
Last NPPES UpdateMarch 22, 20234 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1841800067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MI · 6301019162 Licensed in MI · 6351004233
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.
4690 FULTON ST E, Ada, MI 49301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Janelle Marie Youngdahl Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
4690 FULTON ST E
ADA, MI 49301

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 Janelle Youngdahl's NPI number?

The NPI number for Janelle Youngdahl is 1841800067. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Janelle Youngdahl located?

Janelle Youngdahl practices at 4690 Fulton St E, Ada, MI 49301. The listed phone number is (810) 225-3417.

What is Janelle Youngdahl's specialty?

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

Is Janelle Youngdahl enrolled in Medicare?

No. Janelle Youngdahl has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Janelle Youngdahl accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Janelle Youngdahl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Janelle Youngdahl was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.