Healthcare Provider Details

I. General information

NPI: 1619662590
Provider Name (Legal Business Name): MATTHEW GARTH YOUNG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E MAIN ST
NORMAN OK
73071-5305
US

IV. Provider business mailing address

324 ROYAL OAK DR
NORMAN OK
73069-6434
US

V. Phone/Fax

Practice location:
  • Phone: 405-573-6684
  • Fax:
Mailing address:
  • Phone: 208-516-7058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number41381
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: