Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Kenneth Ray Young Jr., PSYD, LP
Psychologist in Coon Rapids, MN · enumerated 2010.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1083927917
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Registry record
Entity type Individual (Type 1)
Name Dr. Kenneth Ray Young Jr.
Credential PSYD, LP
Sex Male
Practice address 9055 Springbrook Dr Nw, Coon Rapids, MN, 55433
Phone (763) 780-9155
Fax (763) 236-1066
Enumeration date Jul 20, 2010
Last updated in NPPES Dec 7, 2023
Taxonomy & licenses
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License LP5036 (MN) Secondary
103TF0200X Forensic Psychologist Behavioral Health & Social Service Providers · License LP5036 (MN) Secondary
103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License LP5036 (MN) Secondary
PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice.
About the PSYD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083927917 | Medicaid | MN | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Kenneth Young?
Kenneth Young is registered in NPPES with the primary taxonomy of Psychologist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-07.