Individual provider Active NPI

Diane Lynn Cabush, PSY.D.

  • Clinical Psychologist
  • Morristown, NJ
National Provider Identifier
1053408088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00289100 Issued in NJ
Practice address
32 Maple Ave FL 2
Morristown, NJ 07960-5217
Phone
(973) 539-7055
Fax
(973) 267-5278
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00289100 NJ Primary

Addresses

Primary practice location

32 Maple Ave FL 2
Morristown, NJ 07960-5217

Mailing address

32 Maple Ave FL 2
Morristown, NJ 07960-5217
Phone (973) 539-7055

Other names 1

  • Diane Lynn Gabrielsen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050603000903 NJ Practitioner - Clinical Psychologist 3072556737 Practice locations: Morristown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32 Maple Ave
2ND Floor
Morristown, NJ 07960-5217

32 Maple Ave
Suite 2
Morristown, NJ 07960-9436
Phone (973) 539-7055

32 Maple Ave FL
Suite 2
Morristown, NJ 07960-5217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00289100NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053408088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAPLE AVE FL 2",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605217",
            "telephone_number": "973-539-7055",
            "fax_number": "973-267-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAPLE AVE FL 2",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605217",
            "telephone_number": "973-539-7055",
            "fax_number": "973-267-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABUSH",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00289100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GABRIELSEN",
            "middle_name": "LYNN",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.