DR. CAROLYN HEIER YOUNG PSY.D.
NPI 1053467084
Psychologist - Clinical in Reston, VA

Active since January 25, 2007Opted out of Medicare · through Jul 1, 2027
11260 ROGER BACON DR STE 204, RESTON, VA 20190(703) 804-0123 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carolyn Heier Young Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLYN HEIER YOUNG PSY.D. (NPI 1053467084) is an individual clinical provider in Reston, Virginia, licensed in California (PSY20218) and active in the NPI registry since January 2007. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053467084
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CAROLYN HEIER YOUNGCredential: PSY.D.
Location Address11260 ROGER BACON DR STE 204Reston, VA 20190-5252
Mailing Address11260 Roger Bacon Dr Ste 204Reston, VA 20190-5252 · (703) 804-0123
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 18, 2025
NPPES CertifiedFebruary 3, 2025
NPI 1053467084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY20218
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11260 ROGER BACON DR STE 204, Reston, VA 20190

Other Identifiers 1

OtherCHMC115CA · Medi-cal Staff Code

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Carolyn Heier Young Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
11260 ROGER BACON DR STE 204
RESTON, VA 20190
Counselor (Mental Health)
11260 ROGER BACON DR STE 204
RESTON, VA 20190
Psychologist (Clinical)
11260 ROGER BACON DR STE 204
RESTON, VA 20190
Nurse Practitioner (Psychiatric/Mental Health)
11260 ROGER BACON DR STE 204
RESTON, VA 20190
Psychologist (Clinical)
11260 ROGER BACON DR STE 204
RESTON, VA 20190
Nurse Practitioner (Psychiatric/Mental Health)
11260 ROGER BACON DR STE 204
RESTON, VA 20190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Young's NPI number?

The NPI number for Carolyn Young is 1053467084. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Carolyn Young located?

Carolyn Young practices at 11260 Roger Bacon Dr Ste 204, Reston, VA 20190. The listed phone number is (703) 804-0123.

What is Carolyn Young's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Carolyn Young enrolled in Medicare?

No. Carolyn Young has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carolyn Young was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.