Individual provider Active NPI

Robin M Young, MSSW, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1053465419
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0002621 Issued in NY
Practice address
175 West 93 Street
Suite 15K
New York, NY 10025-9343
Phone
(212) 663-0321
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PR0220251 NY
Psychologist 103T00000X 0002621 NY Primary

Addresses

Primary practice location

175 West 93 Street
Suite 15K
New York, NY 10025-9343

Mailing address

175 West 93 Street
Suite 15K
New York, NY 10025-9343
Phone (212) 663-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000011 NY Practitioner - Clinical Social Worker 4789761107 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 W 93 St
New York, NY 10025-9343
Phone (212) 663-0321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0002621NYMDPsychologist
PR0220251NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1053465419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WEST 93 STREET",
            "address_2": "SUITE 15K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100259343",
            "telephone_number": "212-663-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WEST 93 STREET",
            "address_2": "SUITE 15K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100259343",
            "telephone_number": "212-663-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROBIN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSSW, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR0220251",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0002621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.