Active NPI
Linda Joy Young, PH.D
- Psychologist
- Ann Arbor, MI
National Provider Identifier
1104981893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301006638
- Practice address
- 1411 Ferdon Rd
Ann Arbor, MI 48104-4412 - Phone
- (734) 395-0440
- NPI assigned
- Dec 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301006638 | MI | Primary |
Addresses
Primary practice location
1411 Ferdon Rd
Ann Arbor, MI 48104-4412
Mailing address
1411 Ferdon Rd
Ann Arbor, MI 48104-4412
Phone (734) 395-0440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680H246870 | Other | MI | BLUE CROSS PROVIDER |
| V854C | Other | MI | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070516000081 | MI | Practitioner - Clinical Psychologist | 9638276231 | Practice locations: Ann Arbor, MI; Farmington Hills, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2311 E Stadium Blvd
Suite 212
Ann Arbor, MI 48104-4821
Phone (734) 665-9692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1104981893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 FERDON RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044412",
"telephone_number": "734-395-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 FERDON RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044412",
"telephone_number": "734-395-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LINDA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-25",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301006638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER",
"identifier": "680H246870",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "V854C",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.