Individual provider Active NPI

Kimberly Arlene Young, PH. D.

  • Psychologist
  • Brookfield, WI
National Provider Identifier
1265634505
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2495-57 Issued in WI
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

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
409564000MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 7012491715, 2 clinicians

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

LicenseStateTypeSpecialty
2495-57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Options Counseling, LLC Psychologist CurrentSince Feb 8, 2026 Accepting new patients
Family Options Counseling Psychologist CurrentSince Feb 8, 2026 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.

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

Verify at the official NPI Registry.