DR. KENNETH RAY YOUNG JR. PSYD, LP
NPI 1083927917
Psychologist in Coon Rapids, MN
About Dr. Kenneth Ray Young Jr. Psyd, Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH RAY YOUNG JR. PSYD, LP (NPI 1083927917) is an individual psychologist in Coon Rapids, Minnesota, licensed in Minnesota (LP5036) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Minnetonka.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenneth Ray Young Jr. Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
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 Kenneth Young's NPI number?
The NPI number for Kenneth Young is 1083927917. It was assigned to this individual provider in the NPPES registry on July 20, 2010.
Where is Kenneth Young located?
Kenneth Young practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 780-9155.
What is Kenneth Young's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kenneth Young enrolled in Medicare?
Yes. Kenneth Young is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Young was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.