DR. KIM YOUNG PSYD
NPI 1982939104
Psychologist - Clinical in Fayetteville, NC

Q: What is Kim Young's NPI number?

The NPI number for Kim Young is 1982939104. It was assigned to this individual provider in the NPPES registry on October 6, 2009.

Q: What is Kim Young's specialty?

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

Q: Is Kim Young enrolled in Medicare?

No. Kim Young has opted out of Medicare through May 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kim Young was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 06, 2009Opted out of Medicare · through May 25, 2028

1830 OWEN DR STE 10-12, FAYETTEVILLE, NC 28304(910) 797-3302(910) 705-8184 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 14, 2023, Nov 2, 2023, Oct 18, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Dr. Kim Young Psyd NPPES

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

DR. KIM YOUNG PSYD (NPI 1982939104) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (5917) and active in the NPI registry since October 2009. She has opted out of Medicare through May 25, 2028 and maintains a secondary practice location in Fort Bragg.

NPPES Registry Identity

NPI1982939104

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KIM YOUNGCredential: PSYD

Location Address1830 OWEN DR STE 10-12Fayetteville, NC 28304-1611

Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069

Phone(910) 797-3302

Fax(910) 705-8184

Sole ProprietorYes

Enumeration DateOctober 6, 2009

Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration

NPPES CertifiedOctober 21, 2025

✔ NPI 1982939104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NC · 5917✔ Licensed in NY · 024245-01✔ Licensed in NJ · 6421

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.

Also ListedPsychologistTaxonomy 103T00000X · License 4735 (NC)

1830 OWEN DR STE 10-12, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 12817 Rock Merritt AvenueFort Bragg, NC 28310-1611 · Phone (910) 907-8922 · Fax (910) 907-6069

Other Identifiers 1

Medicaid589561802MD

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. Kim Young Psyd 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 May 25, 2026 through May 25, 2028.

Opt-Out Effective DateMay 25, 2026

Opt-Out In Effect ThroughMay 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

ROCHA MADLEINE HOLLAND

Social Worker (Clinical)

1830 OWEN DR STE 10-12
FAYETTEVILLE, NC 28304

Cumberland County (910) 740-4220

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 Kim Young's NPI number?

The NPI number for Kim Young is 1982939104. It was assigned to this individual provider in the NPPES registry on October 6, 2009.

Where is Kim Young located?

Kim Young practices at 1830 Owen Dr Ste 10-12, Fayetteville, NC 28304. The listed phone number is (910) 797-3302.

What is Kim Young's specialty?

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

Is Kim Young enrolled in Medicare?

No. Kim Young has opted out of Medicare through May 25, 2028. 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 Kim Young was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.