DR. NANCY D YOUNG (PHD) – Clinical Psychologist, NPI 1205862224

DR. NANCY D YOUNG (PHD) is a healthcare provider. based in Costa mesa, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PSY 11961 (CA). The NPI Number for DR. NANCY D YOUNG (PHD) is 1205862224

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. NANCY D YOUNG (PHD)
NPI
1205862224
Phone
(714) 732-9856
Address
3505 CADILLAC AVE
Enumeration Date
23 June 2006
Last Update Date
15 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
0941207997
Professional Enrollment ID
I20061103000491
Address ID
CA926261448CO3505XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,473 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. NANCY D YOUNG (PHD)

  • 3505, Cadillac Avenue, Costa Mesa, Orange County, California, 92626, United States

    STE O109

    COSTA MESA, CA 926261448

    Phone: (714) 732-9856

    Fax: (714) 432-7075

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061103000491IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92626)

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Reviews

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Frequently asked questions

What identifier follows DR. NANCY D YOUNG (PHD) across health systems?
The NPI 1205862224 uniquely identifies DR. NANCY D YOUNG (PHD) in U.S. healthcare data.
Is DR. NANCY D YOUNG (PHD)'s NPI status active today?
Active status means DR. NANCY D YOUNG (PHD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. NANCY D YOUNG (PHD)'s specialty?
The extract shows Clinical Psychologist for DR. NANCY D YOUNG (PHD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. NANCY D YOUNG (PHD) in Costa Mesa, California?
For routing, start with Costa Mesa, California for DR. NANCY D YOUNG (PHD), then verify phone and hours locally.
Why is information missing for DR. NANCY D YOUNG (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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