Provider Demographics
NPI:1154359313
Name:YOUNG, CHRISTOPHER MICHAEL (M D)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:YOUNG
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-756-7287
Mailing Address - Fax:203-596-0722
Practice Address - Street 1:402 E MAIN ST
Practice Address - Street 2:WATERBURY ADULT SERVICES OP
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702
Practice Address - Country:US
Practice Address - Phone:203-756-7287
Practice Address - Fax:203-596-0722
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0388142084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT060669107OtherUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT258645OtherMHN MANAGED HEALTH NETWORK
CTPENDING 258645OtherMHN TRICARENORTH
CT060669107OtherOPTUM BEHAVIORAL HEALTH-UBH WELLMORE GRP/FACILITY
CT5743OtherTHE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
CTD339210 WATERBURYOtherBEACON HEALTH STRATEGIES
CT008037450Medicaid
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CT060669107OtherUBH-OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY
CT060669107OtherUBH- CONNECTICARE WELLMORE GRP/FACILITY
CT10450310OtherCAQH
CTCSP.0037843OtherCONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
CT2155452OtherCIGNA BEHAVIORAL HEALTH
CT7517308OtherAETNA BEHAVIORAL HEALTH
CT7517308OtherAETNA BEHAVIORAL HEALTH
CTBY69317700OtherDEA
CT060669107OtherUBH-OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY