LISA ALTMAN YOUNG (PH.D.) – Psychologist, NPI 1861468563

LISA ALTMAN YOUNG (PH.D.) is a healthcare provider. based in State college, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PS-008570-L (PA). The NPI Number for LISA ALTMAN YOUNG (PH.D.) is 1861468563

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
LISA ALTMAN YOUNG (PH.D.)
NPI
1861468563
Phone
(814) 231-8820
Address
1993 CATO AVE
Enumeration Date
23 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123588666
Graduation Year
1995 (31 years ago)
PAC ID
9436247707
Group Practice PAC ID
1254378102
Professional Enrollment ID
I20071120000445
Address ID
PA152373348PI105XXDRXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

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Provider Addresses for LISA ALTMAN YOUNG (PH.D.)

  • 1993, Cato Avenue, Cato Park, Ferguson Township, Centre County, Pennsylvania, 16801, United States

    STATE COLLEGE, PA 168012754

    Phone: (814) 231-8820

    Fax: (814) 231-8857

    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: 2007-11-20

PECOS data refreshed: 2026-05-27

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
I20071120000445IClinical PsychologistPATBD

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 16801)

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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: 1254378102View full group profile
NameSpecialtyState
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

What number should I use to identify LISA ALTMAN YOUNG (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1861468563 for LISA ALTMAN YOUNG (PH.D.).
Is LISA ALTMAN YOUNG (PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists LISA ALTMAN YOUNG (PH.D.) as active.
What services align with LISA ALTMAN YOUNG (PH.D.)'s listing?
LISA ALTMAN YOUNG (PH.D.)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LISA ALTMAN YOUNG (PH.D.)?
LISA ALTMAN YOUNG (PH.D.) is associated with State College, Pennsylvania in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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