Provider Demographics
NPI:1942695754
Name:YOUNG, CHELSEA ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:ANNE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21 TAMAL VISTA BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1127
Mailing Address - Country:US
Mailing Address - Phone:628-245-3932
Mailing Address - Fax:865-205-5228
Practice Address - Street 1:21 TAMAL VISTA BLVD STE 240
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1127
Practice Address - Country:US
Practice Address - Phone:628-245-3932
Practice Address - Fax:865-205-5228
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1438002084P0800X, 2084P0804X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry