DR. KENNETH RAY JR. YOUNG (PSYD, LP) – Psychologist, NPI 1083927917

DR. KENNETH RAY JR. YOUNG (PSYD, LP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Psychologist. They hold the professional credentials PSYD, LP. They hold a License No. LP5036 (MN). The NPI Number for DR. KENNETH RAY JR. YOUNG (PSYD, LP) is 1083927917

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH RAY JR. YOUNG (PSYD, LP)
NPI
1083927917
Phone
(612) 262-9000
Address
2925 CHICAGO AVE
Enumeration Date
20 July 2010
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
3779866934
Group Practice PAC ID
1951213057
Professional Enrollment ID
I20170214000140
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. KENNETH RAY JR. YOUNG (PSYD, LP)

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 9055 SPRINGBROOK DR NW

    COON RAPIDS, MN 554335841

    Phone: (763) 780-9155

    Fax: (763) 236-1066

    Type: Location

  • 12301 WHITEWATER DR STE 101

    MINNETONKA, MN 553434157

    Phone: (952) 999-6097

    Fax: (952) 426-0508

    Type: Mailing

  • 12301 Whitewater Dr Ste 101

    Minnetonka, MN 553434157

    Phone: (952) 999-6097

    Fax: (952) 426-0508

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes4825$0
90791Psychiatric diagnostic evaluation2222$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213057View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. KENNETH RAY JR. YOUNG (PSYD, LP)?
For DR. KENNETH RAY JR. YOUNG (PSYD, LP), use NPI 1083927917 as the unique 10-digit identifier.
Active or inactive — what applies to DR. KENNETH RAY JR. YOUNG (PSYD, LP)?
You should see DR. KENNETH RAY JR. YOUNG (PSYD, LP) as active in CMS-hosted NPPES data.
What area of care is associated with DR. KENNETH RAY JR. YOUNG (PSYD, LP)?
DR. KENNETH RAY JR. YOUNG (PSYD, LP)'s record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. KENNETH RAY JR. YOUNG (PSYD, LP) registered?
Use Minneapolis, Minnesota as the headline location for DR. KENNETH RAY JR. YOUNG (PSYD, LP) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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