Active NPI
Kimberly Arlene Young, PH. D.
- Psychologist
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2495-57
- Practice address
- 3505 N 124TH St
Uppr
Brookfield, WI 53005-2489 - Phone
- (414) 431-4444
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2495-57 | WI | Primary |
Addresses
Primary practice location
3505 N 124TH St
Uppr
Brookfield, WI 53005-2489
Mailing address
4721 N Marlborough Dr
Whitefish Bay, WI 53211-1105
Phone (414) 688-3786
Other practice location 1
4721 N Marlborough Dr
Whitefish Bay, WI 53211-1105
Phone (414) 688-3786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409564000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20260320000562 | WI | Practitioner - Clinical Psychologist | 1658855358 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Options Counseling, LLC
Practice addresses (Care Compare)
3505 N 124TH St
Brookfield, WI 53005-2489
Phone (414) 431-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2495-57 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Options Counseling, LLC | Psychologist | Current | Accepting new patients |
| Family Options Counseling | Psychologist | Current | Accepting new patients |
Locations
3505 N 124th St
Brookfield, WI 53005
Phone (414) 431-4444
3505 N 124th St
Uppr
Brookfield, WI 53005
Phone (414) 431-4444
3015 N 114th St
Wauwatosa, WI 53222
Phone (414) 431-4444
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brookfield, WI
- NPI 1164571667
Psychologist, WI
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brookfield, WI
- NPI 1437322807
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1265634505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 N MARLBOROUGH DR",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532111105",
"telephone_number": "414-688-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 N 124TH ST",
"address_2": "UPPR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052489",
"telephone_number": "414-431-4444"
}
],
"practiceLocations": [
{
"address_1": "4721 N Marlborough Dr",
"address_purpose": "LOCATION",
"city": "Whitefish Bay",
"state": "WI",
"postal_code": "532111105",
"country_code": "US",
"telephone_number": "414-688-3786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "KIMBERLY",
"middle_name": "ARLENE",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2495-57",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409564000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.