Individual provider Active NPI

Gabrielle Roberts-Young, PSYD

  • Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1134898307
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1930 Route 70 E Ste R91
Cherry Hill, NJ 08003-4207
Phone
(856) 220-9672
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1930 Route 70 E Ste R91
Cherry Hill, NJ 08003-4207

Mailing address

1930 Route 70 E Ste R91
Cherry Hill, NJ 08003-4207
Phone (856) 220-9672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 7, 2025 through Aug 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Emotional Health of Greater Philadelphia, LLC PastSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1134898307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ROUTE 70 E STE R91",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034207",
            "telephone_number": "856-220-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ROUTE 70 E STE R91",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034207",
            "telephone_number": "856-220-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-YOUNG",
        "first_name": "GABRIELLE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.