DR. MARY YOUNG SA (PSY.D.) – Clinical Psychologist, NPI 1912095761
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,694 CLINICAL PSYCHOLOGIST in MA
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Provider Addresses for DR. MARY YOUNG SA (PSY.D.)
Lincoln Street, Framingham, Middlesex County, Massachusetts, 01702, United States
FRAMINGHAM, MA 017028264
Phone: (612) 655-3942
Type: Location
Isanti Clinic
300 5th Ave SW
Isanti, MN 55040
Phone: (763) 688-9717
Type: Location
1807 2nd St Ste 44B
Santa Fe, NM 875053519
Phone: (612) 655-3942
Type: Location
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: 2023-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050426000120 | I | Clinical Psychologist | MN | TBD |
| I20181128001529 | I | Clinical Psychologist | MA | TBD |
| I20230124002980 | I | Clinical Psychologist | NM | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 79 | 11 | $0 |
Insurance plans in this area (ZIP 01702)
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