DR. AMANDA YOUNG PSY.D, LP
NPI 1063723716
Psychologist in Fridley, MN

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432(763) 236-3800(763) 236-3821 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amanda Young Psy.d, Lp NPPES

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

DR. AMANDA YOUNG PSY.D, LP (NPI 1063723716) is an individual psychologist in Fridley, Minnesota, licensed in Minnesota (LP4634) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1063723716
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMANDA YOUNGCredential: PSY.D, LP
Location Address480 OSBORNE RD NE STE 260Fridley, MN 55432-2866
Mailing Address2155 Ford PkwySaint Paul, MN 55116-1862 · (612) 672-6999 · Fax (612) 672-2691
Fax(763) 236-3821
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 28, 2010
Last NPPES UpdateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1063723716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP4634
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
480 OSBORNE RD NE STE 260, Fridley, MN 55432

Other Names 1

Former Name (1)Amanda Youngren

Secondary Practice Location 1

Location 12155 Ford PkwySaint Paul, MN 55116-1862 · Phone (612) 672-6999 · Fax (612) 672-2691

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Amanda Young Psy.d, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921132366
PECOS Enrollment IDI20100819001234
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432
Psychiatry & Neurology (Psychiatry)
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432
Psychologist
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432
Behavior Analyst
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432
Nurse Practitioner (Psychiatric/Mental Health)
480 OSBORNE RD NE STE 260
FRIDLEY, MN 55432

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 Amanda Young's NPI number?

The NPI number for Amanda Young is 1063723716. It was assigned to this individual provider in the NPPES registry on June 28, 2010. The provider is also known as Amanda Youngren.

Where is Amanda Young located?

Amanda Young practices at 480 Osborne Rd NE Ste 260, Fridley, MN 55432. The listed phone number is (763) 236-3800.

What is Amanda Young's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Young enrolled in Medicare?

Yes. Amanda Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Young was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.