Look up the most recent NPI and PECOS records

Kirtley Young

Counselor

Behavioral Health & Social Service Providers

74 Charles River Rd, Watertown, MA 02472-2646

PECOS Enrollment

Based on the most recent information from CMS, provider Kirtley Young is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982004602
Provider Type
Individual
Full Name
Young, Kirtley
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/29/2014
Last Updated
3/4/2024

Contact Information

Practice Location

74 Charles River Rd, Watertown, MA 02472-2646

(857) 228-8404

Unlisted Fax

Mailing Location

1660 Soldiers Field Rd, Ste 7 #1149, Brighton, MA 02135

(857) 228-8404

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 9944 Massachusetts
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License 9944 Massachusetts

Kirtley Young

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Harrington, Linda Sue

Cerne, Matthew William

Barry, Scott Patrick

Matorras, Jaime Francisco

Minocha, Kanika

Kasansula, Gladys Nakungu

Goldsmith, Samantha

Dichiara, Samantha Rae

Been, Molly Kate

Wims, Bonnie