DR. SUSAN NILETTE YOUNG PSY. D.
NPI 1215039656
Clinical Neuropsychologist in Jacksonville, FL

Q: What is Susan Young's NPI number?

The NPI number for Susan Young is 1215039656. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Q: What is Susan Young's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Young was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment

13400 SUTTON PARK DR S, SUITE 1504, JACKSONVILLE, FL 32224(904) 223-6414(904) 223-6418 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Susan Nilette Young Psy. D. NPPES

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

DR. SUSAN NILETTE YOUNG PSY. D. (NPI 1215039656) is an individual clinical neuropsychologist in Jacksonville, Florida, licensed in Florida (PY7306) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1215039656

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. SUSAN NILETTE YOUNGCredential: PSY. D.

Location Address13400 SUTTON PARK DR S, SUITE 1504Jacksonville, FL 32224-0236

Mailing Address600 Ironwood Dr, Unit 635Ponte Vedra Beach, FL 32082-5219 · (904) 477-3124

Phone(904) 223-6414

Fax(904) 223-6418

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 5, 2006

Last NPPES UpdateOctober 21, 2011

✔ NPI 1215039656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in FL · PY7306

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License PY 7306 (FL)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY 7306 (FL)

13400 SUTTON PARK DR S, Jacksonville, FL 32224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan Nilette Young Psy. D. 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 ID6406951086

PECOS Enrollment IDI20070411000113

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 Billing Reassignment

Medicare enrollment records show Susan Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Susan N Young Inc

0.5 mi

Clinical Neuropsychologist

13400 SUTTON PARK DR S, SUITE 1504
Jacksonville, FL 32224

Reassigned Medicare billing, Florida enrollment

NPI 1770788390 (904) 223-6414

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

DR. THERESA MARIA DINUZZO PH.D.

Psychologist

13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224

Duval County (904) 386-3844

PROVIDENTIAL HEALTH CARE, INC

Home Health

13400 SUTTON PARK DR S, SUITE 1101
JACKSONVILLE, FL 32224

Duval County (904) 992-2273

DR. RANDI MOST PH.D.

Clinical Neuropsychologist

13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224

Duval County (904) 223-5007

MR. IAN SETH OTTO

Speech-Language Pathologist

13400 SUTTON PARK DR S, SUITE 1101
JACKSONVILLE, FL 32224

Duval County (904) 254-8713

MRS. LIZA CRISTIN PROVENZANO LMHC

Counselor (Mental Health)

13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224

Duval County (904) 568-5826

HEALING HEARTS THERAPY LLC

Counselor (Mental Health)

13400 SUTTON PARK DR S, SUITE 1001-4/5
JACKSONVILLE, FL 32224

Duval County (904) 318-6109

VICTORIA MANUEL LCSW

Social Worker (Clinical)

13400 SUTTON PARK DR S, SUITE 1103
JACKSONVILLE, FL 32224

Duval County (904) 421-2119

DR. RAYNA VAUGHT GODFREY PH.D.

Psychologist

13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224

Duval County (303) 905-2826

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 Susan Young's NPI number?

The NPI number for Susan Young is 1215039656. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Susan Young located?

Susan Young practices at 13400 Sutton Park Dr S Suite 1504, Jacksonville, FL 32224. The listed phone number is (904) 223-6414.

What is Susan Young's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Susan Young enrolled in Medicare?

Yes. Susan 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.

Which organization bills Medicare for Susan Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Young reassigns Medicare benefits to Susan N Young Inc (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Young accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Susan Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Young was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.