Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Harold Wayne Young II, PMHNP-NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417602046

Harold Wayne Young II, PMHNP-NP is a Nurse Practitioner in San Diego, California. Qualified in 2020, 6 years ago. Practices with Mellow Medical Inc a Professional Corporation, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2022

Practice location Address checks out

4074 1/2 Texas St
San Diego, CA 92104-6032
Phone: (865) 258-0161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95019914 (CA)

Record details

NPI number1417602046
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-NP
Sole proprietorNo
NPI enumeratedFebruary 11, 2022
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mellow Medical Inc A Professional Corporation — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego