DR. SALLY SERRELL YOUNG PHD
NPI 1467666313
Psychologist - Clinical in Burlington, VT

Active since May 10, 2007Opted out of Medicare · through Jan 1, 2027
86 LAKE ST, OFFICE 307, BURLINGTON, VT 05401(802) 862-2773 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sally Serrell Young Phd NPPES

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

DR. SALLY SERRELL YOUNG PHD (NPI 1467666313) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (480000178) and active in the NPI registry since May 2007. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1467666313
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SALLY SERRELL YOUNGCredential: PHD
Location Address86 LAKE ST, OFFICE 307Burlington, VT 05401-5297
Mailing Address28 N Williams StBurlington, VT 05401-3304 · (802) 862-2773 · Fax (802) 862-6496
Sole ProprietorYes
Enumeration DateMay 10, 2007
Last NPPES UpdateMarch 7, 2011
NPI 1467666313 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 VT · 480000178
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.

86 LAKE ST, Burlington, VT 05401

Other Identifiers 2

Medicare ID-Type UnspecifiedVT6583VT · Clinical Psychologist
MedicaidVT6583VT

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. Sally Serrell Young Phd 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 January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 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 05401 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 20

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

Counselor (Addiction (Substance Use Disorder))
86 LAKE ST
BURLINGTON, VT 05401
Social Worker (Clinical)
86 LAKE ST
BURLINGTON, VT 05401
Psychiatry & Neurology (Psychiatry)
86 LAKE ST
BURLINGTON, VT 05401
Counselor (Mental Health)
86 LAKE ST
BURLINGTON, VT 05401
Psychologist (Clinical)
86 LAKE ST
BURLINGTON, VT 05401
Psychiatry & Neurology (Child & Adolescent Psychiatry)
86 LAKE ST
BURLINGTON, VT 05401
Psychologist (Clinical)
86 LAKE ST
BURLINGTON, VT 05401
Social Worker (Clinical)
86 LAKE ST
BURLINGTON, VT 05401

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 Sally Young's NPI number?

The NPI number for Sally Young is 1467666313. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Sally Young located?

Sally Young practices at 86 Lake St Office 307, Burlington, VT 05401. The listed phone number is (802) 862-2773.

What is Sally Young's specialty?

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

Is Sally Young enrolled in Medicare?

No. Sally Young has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sally Young was last updated on March 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.