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DR. LISSA YOUNG PH.D.
NPI 1770763237
Psychologist - Health Service in Canton, MA

Active since November 13, 2007Opted out of Medicare · through Oct 23, 2027
1017 TURNPIKE ST STE 12C, CANTON, MA 02021(781) 462-1845 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lissa Young Ph.d. NPPES

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

DR. LISSA YOUNG PH.D. (NPI 1770763237) is an individual health service provider in Canton, Massachusetts, licensed in Massachusetts (9714) and active in the NPI registry since November 2007. She has opted out of Medicare through October 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770763237
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. LISSA YOUNGCredential: PH.D.
Location Address1017 TURNPIKE ST STE 12CCanton, MA 02021-2847
Mailing Address1017 Turnpike St Ste 12cCanton, MA 02021-2847 · (781) 462-1845
Phone(781) 462-1845
Sole ProprietorYes
Enumeration DateNovember 13, 2007
Last NPPES UpdateJune 10, 2013
✔ NPI 1770763237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in MA · 9714
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
1017 TURNPIKE ST STE 12C, Canton, MA 02021
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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. Lissa Young Ph.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 October 23, 2017 through October 23, 2027.

Opt-Out Effective DateOctober 23, 2017
Opt-Out In Effect ThroughOctober 23, 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.

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 Lissa Young's NPI number?

The NPI number for Lissa Young is 1770763237. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Lissa Young located?

Lissa Young practices at 1017 Turnpike St Ste 12C, Canton, MA 02021. The listed phone number is (781) 462-1845.

What is Lissa Young's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Lissa Young enrolled in Medicare?

No. Lissa Young has opted out of Medicare through October 23, 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 Lissa Young was last updated on June 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.