Individual provider Active NPI

John J Young, M.D.

  • Psychiatry Physician
  • Middlebury, VT
National Provider Identifier
1063420891
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042-0011667 Issued in VT
Practice address
89 Main St
Middlebury, VT 05753-1459
Phone
(802) 989-6833
NPI assigned
Aug 4, 2006
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 229141 MA
Psychiatry Physician 2084P0800X 337509 NY
Psychiatry Physician 2084P0800X 042-0011667 VT Primary

Addresses

Primary practice location

89 Main St
Middlebury, VT 05753-1459

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other practice location 1

2679 Main St
Crown Point, NY 12928-2603
Phone (518) 597-3029

Other practice location 2

15 Pleasant Street
Au Sable Forks, NY 12912
Phone (518) 647-8164

Other practice location 3

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7790

Other practice location 4

39 Farrell Rd
Willsboro, NY 12996-3904
Phone (518) 963-4275

Other practice location 5

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other practice location 6

6097 Nys Route 9N
Westport, NY 12993-2308
Phone (518) 962-2313

Other practice location 7

18 Community Center
Wilmington, NY 12997
Phone (518) 946-1111

Other practice location 8

66 Park Street
Elizabethtown, NY 12932
Phone (518) 873-6896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091027000759 VT Practitioner - PsychiatryPractitioner - Neurology 9436051687 Reassigns benefits to 2 organizations
I20250814001098 NY Practitioner - Psychiatry 9436051687 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229141MAMDPsychiatry Physician
042-0011667VTMDPsychiatry Physician
337509NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital Current Accepting new patients
Elizabethtown Community Hospital CurrentSince Aug 1, 2025 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Ingraham Past Accepting new patients

Locations

2679 Main St
Crown Point, NY 12928
Phone (518) 216-4076

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

6097 Nys Route 9N
Westport, NY 12993
Phone (518) 962-2313

39 Farrell Rd
Willsboro, NY 12996
Phone (518) 523-8345

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

160 Allen St
Rutland, VT 05701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: jyoung611639@direct.uvmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1063420891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531459",
            "telephone_number": "802-989-6833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2679 Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "NY",
            "postal_code": "129282603",
            "country_code": "US",
            "telephone_number": "518-597-3029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Pleasant Street",
            "address_purpose": "LOCATION",
            "city": "Au Sable Forks",
            "state": "NY",
            "postal_code": "12912",
            "country_code": "US",
            "telephone_number": "518-647-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011438",
            "country_code": "US",
            "telephone_number": "518-562-7790",
            "fax_number": "518-562-7789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Farrell Rd",
            "address_purpose": "LOCATION",
            "city": "Willsboro",
            "state": "NY",
            "postal_code": "129963904",
            "country_code": "US",
            "telephone_number": "518-963-4275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6097 Nys Route 9N",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "NY",
            "postal_code": "129932308",
            "country_code": "US",
            "telephone_number": "518-962-2313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Community Center",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NY",
            "postal_code": "12997",
            "country_code": "US",
            "telephone_number": "518-946-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Park Street",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NY",
            "postal_code": "12932",
            "country_code": "US",
            "telephone_number": "518-873-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "229141",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "337509",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0011667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.