DR. KATHLEEN MARIE YOUNG M.D.
NPI 1710189501
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY

Active since June 04, 2007Opted out of Medicare · through Jul 31, 2027
111 E 80TH ST, SUITE 1D, NEW YORK, NY 10075(212) 280-4121(866) 280-0922 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Marie Young M.d. NPPES

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

DR. KATHLEEN MARIE YOUNG M.D. (NPI 1710189501) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (232562) and active in the NPI registry since June 2007. She has opted out of Medicare through July 31, 2027 and remains eligible to order and refer and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2001).

NPPES Registry Identity

NPI1710189501
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KATHLEEN MARIE YOUNGCredential: M.D.
Location Address111 E 80TH ST, SUITE 1DNew York, NY 10075-0334
Mailing Address111 E 80th St, Suite 1dNew York, NY 10075-0334 · (212) 280-4121 · Fax (866) 280-0922
Fax(866) 280-0922
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2001
Enumeration DateJune 4, 2007
Last NPPES UpdateMarch 19, 2014
NPI 1710189501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NY · 232562
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 232562 (NY)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 232562 (NY)
111 E 80TH ST, New York, NY 10075

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. Kathleen Marie Young M.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 31, 2017 through July 31, 2027.

Opt-Out Effective DateJuly 31, 2017
Opt-Out In Effect ThroughJuly 31, 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.

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Geriatric Psychiatry)
111 E 80TH ST, SUITE 1B
NEW YORK, NY 10075
Internal Medicine
111 E 80TH ST, SUITE 1C
NEW YORK, NY 10075
Anesthesiology
111 E 80TH ST, SUITE 1C
NEW YORK, NY 10075
Social Worker (Clinical)
111 E 80TH ST, SUITE 1D
NEW YORK, NY 10075
Psychologist
111 E 80TH ST, SUITE 1D
NEW YORK, NY 10075
Social Worker (Clinical)
111 E 80TH ST, 1D
NEW YORK, NY 10075
Registered Nurse (Infusion Therapy)
111 E 80TH ST
NEW YORK, NY 10075
Internal Medicine (Gastroenterology)
111 E 80TH ST, SUITE 1C
NEW YORK, NY 10075

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 Kathleen Young's NPI number?

The NPI number for Kathleen Young is 1710189501. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Kathleen Young located?

Kathleen Young practices at 111 E 80th St Suite 1D, New York, NY 10075. The listed phone number is (212) 280-4121.

What is Kathleen Young's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kathleen Young enrolled in Medicare?

No. Kathleen Young has opted out of Medicare through July 31, 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 Kathleen Young was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.