DR. MARY YOUNG SA PSY.D.
NPI 1912095761
Psychologist - Clinical in Framingham, MA
About Dr. Mary Young Sa Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY YOUNG SA PSY.D. (NPI 1912095761) is an individual clinical provider in Framingham, Massachusetts, licensed in Minnesota (LP4378) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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. Mary Young Sa 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Sa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Framingham, MA 01702
- Reassigned Medicare billing, Massachusetts and New Mexico enrollments
White Bear Lake, MN 55110
- Reassigned Medicare billing, Minnesota enrollment
- 22 clinicians in this Medicare group
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Sa's NPI number?
The NPI number for Mary Sa is 1912095761. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Mary Sa located?
Mary Sa practices at 61 Lincoln St Ste 309, Framingham, MA 01702. The listed phone number is (612) 655-3942.
What is Mary Sa's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mary Sa enrolled in Medicare?
Yes. Mary Sa 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 organizations bill Medicare for Mary Sa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sa reassigns Medicare benefits to 3 organizations: One World Mental Health LLC (Framingham, MA), Minnesota Online Counseling LLC (White Bear Lake, MN) and Nonviolence Works, Inc. (Taos, NM). Each 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 Mary Sa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Sa accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Mary Sa 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 Mary Sa was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Mary Young Sa, PSY.D. · NPI 1912095761
Clinical provider in Framingham, Massachusetts. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1912095761 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** LP4378 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 61 LINCOLN ST STE 309, Framingham, MA 01702-8264
- **Phone:** (612) 655-3942
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): One World Mental Health LLC (NPI 1841849619, Framingham, MA); Minnesota Online Counseling LLC (NPI 1609255694, White Bear Lake, MN); Nonviolence Works, Inc. (NPI 1376777607, Taos, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** March 3, 2025
- **Other identifiers:** Medicaid 438527600 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1912095761) · Data from the CMS NPPES public registry.